A treatise on obstructed and inflamed hernia: and on mechanical obstructions of the bowels internally ... With an appendix containing additional cases and observations, illustrated by diagrams and also strictures on the remarks of reviewers / By Henry Stephens.

  • Stephens, Henry (Surgeon)
Date:
1831
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on obstructed and inflamed hernia: and on mechanical obstructions of the bowels internally ... With an appendix containing additional cases and observations, illustrated by diagrams and also strictures on the remarks of reviewers / By Henry Stephens. Source: Wellcome Collection.

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    which latter appeared to them to be in no de¬ gree the cause of death, because the symptoms were not those of strangulation. These were in my opinion cases either of Obstructed Her¬ nia, or of what I shall hereafter describe as Inflamed Hernia- In reading the accounts ot the dissection in fatal cases of hernia after operation, I have often noticed amongst other morbid appear¬ ances which have been detailed, that there were found adhesions of the bowels; and a knuckle of intestine is often described as so adhering. In operating for strangulated her¬ nia therefore, the surgeon should not consider that he has done all that is required, when he has divided the stricture; he ought not to re¬ turn the bowels, until he is satisfied that they are so freed from their adhesions, that when returned into the abdomen, they will be capa¬ ble of resuming their functions. Upon this principle, I venture to differ from Sir Astley Cooper, who directs in the operation for large hernia, that the stricture should be divided without opening the sac. If the symptoms are such as to leave no doubt that they are caused by a stricture solely, then the above proceeding