. Ernia addominale : la sua diagnosi e il suo trattamento. In li il-taiiied. Misura da A a B, 14 pollici; circonferenza. Da C a £>, 2 piedi, 2 pollici. Funzionamento Dec. 4. 1S95; nessuna ricorrenza a 1906. Nessun traliccio usurato. Contenuto, intestino crasso e piccolo, omentum, bladderInside del sacco, e fluido libero. Nota il testicolo destro in B, a sinistra in D. vedere le figg. 151, 152. questo fatto. L'uomo lì mostrato è stato operato per ernia scrotale anenorme e incontrollabile e ha fatto il recupero della richiesta, la guarigione da Unione primaria. A quel tempo ci ernia wasno sul lato sinistro. Cinque anni dopo il rigonfiamento si notò sul lato sinistro (fi

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. Abdominal hernia : its diagnosis and treatment. in_ li iL-taiiied. Measures.A to B, 14 inches; circumference. C to £>, 2 feet, 2 inches. Operation Dec. 4. 1S95; no recur-rence to 1906. No truss worn. Contents, large and small intestines, omentum, bladderinside of sac, and free fluid. Note right testicle at B, left at D. See figs. 151, 152. this fact. The man there shown was operated upon for anenormous uncontrollable scrotal hernia and made promptrecovery, healing by primary union. At that time there wasno hernia on the left side. Five years later swelling wasnoticed on the left side (fig. 152), and I found him with com-plete oblique hernia the size of a hens tgg. which was operated 272 ABDOMINAL HERNIA. upon and cured. !Many experiences of this kind convince methat in these very large herniie there is httle trouble in effectinga permanent cure. In the case shown in fig. 153 the man was over seventyyears of age and had a hernia reaching nearly to his knee, ofmany years duration, and wholly uncontrollable. The hernia, Fig.151.. T. S, , six weeks after operation for enormous right scrotal hernia. See figs. 150, and 152, which proved upon operation to contain mostly intestine, bothlarge and small, could be reduced to the abdomen. He waskept in bed for fully one week before operating, and the herniawas kept reduced most of that time to accustom the abdominalcavit) to its presence. The operation was not particularlydifficult, and plenty of good muscle was found with whichto close the very large opening. COMPLICATIONS IN SURGICAL CURE. 273 Fig. 154 is a case of very different type and one, if recog-nized, where an operation should not be attempted. In thiscase it was easily ascertained that a large amount of intestinewas present, a small amount of it reducible, and it was believedthat a large mass of hypertrophied omentum was also in thesac. This unfortunately did not prove true. The man had Fig. 152.

Parole chiave associate all'immagine

• bookcentury1900
• bookdecade1900
• bookpublisher
• booksubjecthernia