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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![so In illustration of this principle are the following cases, five femoral, two umbilical, and seven inguinal. [Medical Times and Gazette, A/ay so, 18S2.] Prophylactic Operation for Radical-Cure Treatment of Lreditcible Femoral Hernia—Ligature of Neck of the Sac and Omental Pedicle together- Complete Cure. Mary A., aged forty-five, a strong workinc-vvoman, having a right omental femoral hernia the size of a hen's egg. Herniotomy was performed on January 4, 1881, under all Lister's precautions ; the sac opened, and a very narrow neck and omental pedicle found. These were both ligatured together outside tlie sac with carbolised catgut as high up as possible, and the parts below cut off. Catgut sutures and drain were put in, and gauze dressings applied. On the tenth day these were changed, and the knots of the sutures and the protruding ends of the drain found lying loose. A small amount of granulating surface healed in the next three days. No truss was worn, and after a few weeks' rest the patient went about as usual. On February 12, 1883, she was well, and free from hernial protrusion. I)uarcerated Omental Femoral Hernia—Ligature of Sac alone, after Reduction of Omentum by Taxis—Complete Cure. Sarah R., aged fifty, admitted March 29, 1881 ^ had had a small left femoral hernia two years, unsupported by a truss, but irreducible. For the two previous days the hernia had been down, no stool had passed, and vomiting had come on with pain. Wind had passed, however; and this fact, and the evident purely omental character of the protrusion, were duly appreciated, on her admision, by Mr. Meeson, the House-Surgeon, as excluding the likelihood of strangulation, though he sent for assistance on account of the somewhat equivocal symptoms, and at the same lime refrained from taxis. The hernia was evidently omental, and apparently reducible. The belly was undistended, and the bowel symptoms slight, so under ether Mr. Parker reduced the hernia easily. Seeing, however, that at any time the incident might be repeated, with even intestinal accompani- ments of severity or danger, herniotomy was at once decided upon for the purpose of radical cure. The empty sac was opened, separated, and then tied tightly and high up with carbolised catgut, being cut off beyond. Two or three dressings sufficed, with catgut drain and sutures, resulting in](https://iiif.wellcomecollection.org/image/b22276129_0062.jp2/full/800%2C/0/default.jpg)
