The radical cure of hernia : embracing a description of the disease, its varieties, peculiar conditions, causes, symptoms, dangers, treatment and permanent cure : together with a history of trusses, and an examination into the various kinds in general use : with a deduction of new principles, and a description of a new instrument recently invented for a radical cure / by A.W. Patterson.
- Patterson, A. W. (Andrew W.)
- Date:
- 1849
Licence: Public Domain Mark
Credit: The radical cure of hernia : embracing a description of the disease, its varieties, peculiar conditions, causes, symptoms, dangers, treatment and permanent cure : together with a history of trusses, and an examination into the various kinds in general use : with a deduction of new principles, and a description of a new instrument recently invented for a radical cure / by A.W. Patterson. 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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![tnrei and localities anil parts adjacent, from which the various hernia) escape. Wo will describe them in the order observed above. mi ITS Varieties.—Inguinal ruptures are so named because they appear in what i* called the inguinal region or groin. Their appearance is through the abdominal ring!, which are natural openings through the walla tor the passage of the spermatic oordi of the male and the round ligaments of the uterus in the female. These rings are situated in eaoh groin ; the lower imma^inlal.. alimta t\ia tiiil.i.. Iii.twi -im/I f h.i ntllOI- nllllllt .111 ilictl M II I 1 ft ti:tll' B llOV A if. in ll]H (llll I'llllll the walls and appears immediately under the skin. Here, then, through this winning passage, is a natural opening from the interior of the abdomen outward. Through it the cords and ligaments as named pa 9J and in company with them Common Inguinal or Oblique Urmia makes its appearance. ISy examination of the cut the description will he readily understood. When oblique hernia is of long standing and permitted to remain down consid- erably, the internal ring becomes distended, and drawn down so as, perhaps, to correspond with the external ring. Its obliquity being thus destroyed, it receives the name of Direct Inguinal Hernia. J Hut there is another way in which the inguinal form leaves the abdomen, and of course the j name takes upon it a corresponding variation. Instead of leaving the abdomen through the inter- j nal ring, as described, it sometimes bursts through the tissues immediately under ami into the lower ! ring; when, on account of being more in the ventral region, it is called Venire-Inguinal Hernia, j When in any of the above instances it is permitted to continue its course downward, as all ruptures ) when not supported gradually descend, it finally makes its way into the scrotum of the male, when it i is called Scrotal Hernia; or into the pudenda of the female when it is called / ,,/. There • j is another variation of Inguinal Hernia, which, on account of its appealing at birth or soon alter, '. accompanying the testis in its descent from the abdomen and having no peritoneal covering, is called ! We frequently meet with little sufferers laboring under I „e, : in consequence of neglect, and unfortunately too, for it is generally beyon I of remedy. / Many acoouchers, unacquainted with it — for it is sometimes difficult to detect —take but little \ notice of it, mistaking it for a slight swelling, which they imagine will soon disappear. B of disappearing, it soon becomes irreducible, by the formation of adhesions, and consequently beyond { treatment. JMr. D. of Philadelphia, brought a sprightly boy of six or seven years of age to me, to > know the cause of a swelling in the part, which he stated had existed since a few days after birth. j Upon examination, I found it to be Congenital Hernia. It had reached the upper part of the scrotum, where it had become firmly adhered ; and consequently irreturnable. He insisted upon an effort at treatment. I made trial for a week, but to no purpose. Femoral Hernia.—This variety is of considerably less frequent occurrence than the one just de- scribed ; and happily too, for it is the most difficult and dangerous of all. It is a form ofthe di 11 never becomes large, hence its severity; for, in proportion as a hernia is small it is dangerous- being more liable to incarceration. It is somewhat difficult to give an idea of its anatomy. A dissection is not so easily presented to the eye, when represented by a drawing. Hut, by reference to the prece- ding cut, an imperfect conception may be had. In front of the pubic bone, and immediately under the attachment to it of a strong lin-ament, called rouparts, or the crural arch, which bounds the lower and outer part of the abdomen through winch the nerve and great blood-vessels pass from the abdomen to be distribute,! on the limb below Ihrough this passage, then, in company with these vessels, this variety of hernia and takes its name accordingly. If it enlarges and continues to descend, its course is toward the bend o the thigh, while it assumes an oval or elongated and sometimes hour-glass shape-lyine generally ,n a horizontal position, and rising somewhat above and anterior to the ligament Some- times, instead of extending toward the bend of the thigh, it continues its course in company u it I, the TTenlVT , fiends more perpendicularly along the inner and anterior part of the limb. ance 3^ ThySeatf Srd *? resiste(1 in its descent, presents but little external appear- cialv'inhe fem'f 7 5 bsorlJent 6«™1» and adipose matter tend further to conceal it; espe- wanu and bu» 1 ■ ' ^ U '^ ' * t''1 * blk °f a hazelnut to that of a walnut, and but rarely attains a more considerable magnitude , adapt rinl::ruame0nUt:dusede Tff f f *• * B™* «*' ^ ***** °^ t0 the T % Femoral n, v„! ■ experience proves, that there has been no properly constructed > a Femora? Kjff t™d. 1 *', * '^T^ f™ °f *»«*•*»>£ ->'' on meS \ Dressed the L^- l • <ledare,!> n0 trs* he could procure would retain ; and he but ex S learning he was perfec, v w. He I „TV StrUme.s,J ™* al'0,lt ,he -»*« afterward, of mention, but feel VS^nbl. enabled tLT'' 'f r T^ ' ' f'r *• that has produced so much sutferintn'd I - ? u™ ', 'hseaSC' SS *' . • , 'ucn suitering ; and the heart gladdens at the recollect inn «f .i„ instances in which relief has been afforded recollection ol the numerous Umbilical HERMA.-This is a protrusion at the umbilicus or navel-a nart of ,1 P . , aKay^omewhat tender and weak, and eo, Bct to the ££ n^^'^Z 3-](https://iiif.wellcomecollection.org/image/b21146159_0010.jp2/full/800%2C/0/default.jpg)
