A memoir on strangulated hernia : from cases occurring in the London Hospital / by Nathaniel Ward.

  • Ward, Nathaniel, 1820-1866.
Date:
1854
Catalogue details

Licence: Public Domain Mark

Credit: A memoir on strangulated hernia : from cases occurring in the London Hospital / by Nathaniel Ward. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    cases of hernia have been operated on in the London Hospital. Of this number 43 were femoral, 22 inguinal, and 4 umbilical. The number not operated on during that period amounted to 173, thus making a total of 242 that have been under treatment. Of the 43 cases of femoral hernia, 39 have occurred in the female, 4 only in the male. 28 cases have occurred on the right, 24 of them being in the female, 4 in the male ; and 15 on the left side. Among the 22 cases of inguinal hernia, 15 were on the right, and 7 on the left side. These facts, as to the ^ greater frequency of hernia on the right than on the left side, correspond with the experience of Sir Astley Cooper, and may, as he remarks, possibly be accounted for by the fact, that exertion is generally greater on the right than on the left side of the body. Of the 43 cases of femoral hernia, the sac was not opened in 29, and opened in 13. The average period of strangulation in the former class of cases amounted to 34 hours and a fraction ; in the latter to 58 hours. Of the 29 cases of unopened sac, 4 died and 25 re- covered, the shortest period of strangulation in the fatal cases having been 39 hours, the longest 5 days; in the recoveries, the shortest period having been 10 hours, the longest 5 days. Of the 13 cases of femoral hernia, in which the sac was opened, 6 died and 7 recovered ; the shortest period of strangulation in the 13 cases having been 24 hours, the longest 7 days.