Abdominal hernia and its consequences : with the principles of its practical treatment / by Rushton Parker.
- Parker, Rushton, 1847-1932.
- Date:
- 1883
Licence: Public Domain Mark
Credit: Abdominal hernia and its consequences : with the principles of its practical treatment / by Rushton Parker. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![[Medical Times and Gazette, May so, iSSa.] Prophylactic Heiiiiotomy for Radical Cure—Imperfect Method, btit Complete Cure, Robert C, aged twenty-eight, a joiner, admitted June, 1879. A fluid collection, not unlike a hydrocele of the cord, was tapped on admission and once previously, but not followed by disappearance of all the swelling on either occasion. What remained was soft and quite irreducible up the inguinal canal, though not having an unequivocal neck or other local characters clearly suggestive of a hernia. But, on the grounds of pro- bability and exclusion, it was nevertheless presumed to be an omental hernia with a narrow pedicle, and its attempted cure by operation was decided on, and performed under Lister's arrangements on June 20, 1879. The diagnosis was verified on opening the sac, where lay much adherent omentum, of which the pedicle was tied in several places with stout carbolised silk, and reduced after severing and removing what lay beyond. The sac was detached, folded up, and stitched in the inguinal canal, and the wound closed by sutures. To avoid further detail, it may be added that eventually sound healing occurred, though not until after suppuration up the cord and the formation of an acute abscess in the iliac fossa. The patient never wore a truss after, and never experienced or manifested any furthei hernial protrusion. More than a year later he had on the same side a hydrocele, which was tapped and injected with strong iodine liniment, resulting in the usual acute inflammation, effusion, and re-absorption. On December I, 1881, he was well and strong, without a sign of hernial protrusion or appearance of liability. Prophylactic Hemiotoviy for Radical Cure—Imperfect Method and 07ily Imperfect Result. John M., aged twenty-four ; had a left inguinal hernia at the age of two, wore a truss, and eventually dispensed with it. In 1870 the hernia came down, and had existed ever since, though always reducible until a week before his admission on October i, 1880. Ever since the hernia became irreducible he had had pain and general local discomfort, but no inter- ference with the functions of the bowel. Rest in bed was followed by speedy and complete relief of all discomfort, but the hernia remained as a scrotal and inguinal tumour, and was known to have resisted repeated efforts at taxis before admission. On October 8, herniotomy was performed](https://iiif.wellcomecollection.org/image/b22276129_0053.jp2/full/800%2C/0/default.jpg)
