Atlas and epitome of abdominal hernias / by Dr. Georg Sultan.

  • Sultan, Georg.
Date:
1902
Catalogue details

Licence: Public Domain Mark

Credit: Atlas and epitome of abdominal hernias / by Dr. Georg Sultan. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    vomiting, and after a few hours flatus is passed. Neither opiates nor purgatives should be given ; if the bowels are not moved spontaneously after twenty-four hours, a small rectal injection of glycerin will almost always produce an evacuation. The most frequent source of trouble after the operation is inflammation of the peritoneum, and in the great majority of cases w^e are powerless Avhen confronted with this complication. If an intestine which has been considered capable of life and returned to the abdomen subsequently undergoes necrosis, the only chance of avert- ing the threatened danger is by an immediate laparotomy. Later on, after a herniotomy, the phenomena of intestinal occlusion may reappear, and this may be due to angula- tions or adhesions of the reduced intestinal coil or to the production of a stenosis by the sloughing away of necrotic mucous membrane. The only treatment of such conditions must, of course, consist of a further operative procedure. Mention should also be made of an occurrence which is sometimes observed both after herniotomy and also after the radical operation—the inflammatory tumor of the omentum. These tumors may even occur in cases in which omentum has not been ligated at the time of the operation. Braun has quite recently directed attention to this form of epiploitis and collected the previous publications upon the subject. Either very soon after the operation or within a few weeks, a hard irregular intra-abdominal tumor is felt which usually disappears spontaneously in the course of a few months, but which may break down and suppurate. The pneumonias which not infrequently develop after herniotomy may be partly referred to small pulmonary