Syllabus of a course of lectures on the principles of surgery / by Kenneth McLeod.

  • McLeod, Kenneth.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Syllabus of a course of lectures on the principles of surgery / by Kenneth McLeod. Source: Wellcome Collection.

Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.

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    II. Diagnosis.—]. From solid tumour. 2. From fluid tumour. 3. From varicocele. III. Prognosis and risks.—1 Increase of size. 2 May become irreducible. 3. May undergo strangulation. IV. Treatment.-—1. By truss : (n) Should afford continuous and comfortable pressure : (b) Should be applied over opening : (c) Should retain the hernia, and (d) be constantly worn. 2—Radical (a) Objects—t. obliteration of sac ; ii. plugging of opening ; Hi, constriction of opening ; tv. two or more of these combined. (b) Methods, i.—Continuous application of truss ; ii.—Irritants applied locally (Fabricius, Yerdue, Pare, &c.) Hi.—Compression (Celsus &c.); with astringents (Fournier &c. )iv.—Recumbent position(Ravin, Riviere &c.); v.—Cau- terising neck of sac (Avicenna, Franco, &c ); vi.—Incision and suture of sac (Armand, &c); vii.—Incision and application of Iodine (Hinman), viii.—Excision of sac (Bertrandi, Lanfranc, &c.); ix.—Ligature of sac (Desault, Dupuytren, &c.);x.—Ligature of ring(Wood, Dowell, &c,); xi.—Castration; xii.—Scarification of neck (Le Blanc Guerrin.); xiii.—Plugging with epiploon (Cooper &c.); xiv.—with the testicle or sac (Scultetus, Steffen); xv.—with integument (Jameson) xvi.—with invaginated skin (Gerdy Wfitzer &c.); xvii.—Acupuncture(Bonnet); xviii—Injection (Vepleau, Heaton, Warren); xix,—Wood’s operation, xx.— Antiseptic operation (Annandale Mc.Leod). Irreducible Hiirnia. I. Causes of irreducibility.—1. Nature of Hernia,—csecum, bladder, &c. 2.—Structure of sac, thickening of neck, hour glass contraction, &c. 3.—Matting of omentum or mesen- tery. 4.—Growth of fat in omentum. 5.—Adhesion of contents or contents and sac. 6.—Reduced capacity of abdomen.