Clinical collections and observations in surgery : made during an attendance on the surgical practice of St. Bartholomew's hospital / by W.P. Ormerod.

Date:
1846
Catalogue details

Licence: Public Domain Mark

Credit: Clinical collections and observations in surgery : made during an attendance on the surgical practice of St. Bartholomew's hospital / by W.P. Ormerod. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    CLINICAL COLLECTIONS, <£r. CHAPTER I. ON HERNIA. Account of patients admitted, of patients operated on twice, of the date of strangula- tion, aud of the general condition on admission. Employment of the taxis simply, or with other means. Circumstances occurring in the operation, before and after opening the sac. Fluid in the,sac; its quantity as influencing the strangulation ; its quality, whether transparent, brown, or bloody; its absence. Cases of patients ndth hernia and hernial symptoms sufl'ering from other ailments. Cases of strangulation by the omentum. Treatment of the omentum. Very few patients with strangulated hernia apply for rehef at first to St. Bartholomew’s Hospital, but the generahty are attended by the medical practitioner of their neighbourhood, or even by two or three different persons. The proportion of patients operated on, as compared with those who are admitted, is thus large; yet many apply and have their ruptures reduced. The same patient often has his rupture reduced once or twice, or even tliree times; but it is more common for the second strangulation to need an opera- tion, than to be reduced by the taxis. Of those which are returned, the majority are cases of inguinal heniia, of moderate size, not long down, and not previously handled. The number of cases of femoral hernia returned is very much less than that of inguinal. No class of cases varies more than these, in apparently accidental circumstances ; thus many cases happen together, many fatal cases occur together, and many successful operations occui' consecu- tively ; yet it is . very rare for two cases to be exactly ahke in every B