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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    free division of Poupart's ligament at the angle of junc- tion between it and Gimbernat's, The symptoms of strangulation remained unrelieved; and, on the second day the gut was opened by a crucial incision ; faecal mat- ter escaped. The patient died in four and a half days after the operation. The neck of the sac was found firmly adlie- rent to the neck of the gut, which was only a portion of the entire calibre, by very firm close connexions girting it all round, and which to all appearances had existed for years. Of this variety of incarcerated hernia, termed ob- i structed, Stephens relates several cases, in which the uniting adhesions to the chronically inflamed and thick- ened bowel were freely detached, the gut returned into the abdomen, and a favourable result ensued. Could this proceeding have been safely effected in the above case, it is possible that a different result might have followed. Among the 7 cases of hernia that recovered, of those in which the sac was opened, I find several inter- esting statements. Thus, in a woman, aged 60, who re- covered on the thirty-ninth day after the operation, a jirevious operation had been performed on her on the same side ten years previously. A woman, aged 72, re- covered on the thirtieth day, strangulation having existed for forty-eight hours. In one instance the sac was opened, in order to examine the nature of a tumour in connexion with the sac, and which turned out to be a large dilated diverticulum appended to it. I come now to a consideration of the particular points