A review of a report of a committee of the American Medical Association on the permanent cure of reducible hernia or rupture / by George Heaton.

  • Heaton, George, 1808-1879.
Date:
1853
Catalogue details

Licence: Public Domain Mark

Credit: A review of a report of a committee of the American Medical Association on the permanent cure of reducible hernia or rupture / by George Heaton. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    Mr. G-. P., of Salem, aged about 37 years. Came to Infirmary, December, 1850. Had had for many years a direct Inguinal Her- nia, accompanied with a Hydrocele. A radical cure of both com- plaints was effected. Cases of Irreducible Hernia. During the month of June, 1844, Mr. D., aged 41 years, of thin habit of body, consulted me for a Femoral Hernia on both sides. That on the right was about the size of a butternut, and had been irreducible twenty years. He had worn a scoop truss a part of the time, and had been a great sufferer. This, to my surprise, I was able no reduce by taxis, continued for about half an hour. I immediately operated on it for a radical cure. The Hernia on the left side had not been irreducible so long as the other, but I found it impossible to reduce it by taxis, and therefore cut down and removed a portion of the contents of the tumor, which proved to be omentum, and which had increased to such an extent that it was impossible to return it. The patient was radically cured of both Herniae. Mr. M., aged 55, very fleshy, weighing over three hundred pounds. Came to me in December, 1845, with an Umbilical Hernia of twenty years' standing, which had not been returned to its proper place during the whole time, and was considered irreducible. On the 22d of December I made my first attempt to reduce it by taxis. The next day I made another trial, and so on for the several succeeding days, working on it for some half an hour or more once or twice in twenty-four hours, until, on the 27th, I succeeded in reducing it completely. A radical cure was then easily effected. September, 1846, Miss H., aged 35, of spare habit, came under my care with an Omental Femoral Hernia, of two years' standing. The omentum had been irreducible from six to eight months. During this time she had been able to do but little work,-had suffered much from attacks of colic, which could with difficulty be relieved. Finding it impossible to effect the reduction by external pressure, I performed the operation usually done in strangulated