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
Catalogue details

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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    strangulation likely to MOOT, ll may lie Owing to one of two other oauiei, namely : tlie rapid { diiit.'ition 01 growthof the parts after they bavi revesting their repassing, readily, again s into the abdomen ; or, contraction of the neok of the sac ; ami in consequence it may be impossible. > to effect a reduction, by mere manual effort. When such seems to be the case, I wonhl advise a > collateral means, which alone, after some time, may accomplish it. Lei the person remain in the ( recumbent position, and resort to cold applications to the tumor j sni ndwetwith j vinegar. If this may not have the desired effect, ice broken and put in a blai id tlie < inconvenience of it melting, must be had recourse to, and persevered in until the hernia is likely, or > actually has returned of itself. I have found this a most effectual means, and have succeeded with it, t when I am oonl wered. i Mrs. , of Philadelphia, sent me a measure for a truss for herself. After some days, her \ husband called and informed me, she could not reduce her henna, and wished me to see her and make the effort myself. I did so, and attempted it with all the little skill I posses .1: and perse- ' vered in it, as long as was thought prudent, hut all to no purpose. It was evident there was no f adhesion, and tendency to strangulation there was none. Ice was ordered at once ; for I knew, it i would require the most powerful of like means. This was continued, until the fifth day, when the i hernia disappeared of itself into the abdomen. This mode-oftreatment, however, requires one precaution. If the ice be long and freely applied, there is some danger of frost-bite. The consequences of which will be sloughing, soreness anil incon- venience, afterward. When the rupture has been returned, a truss must he applied to secure its retention. But, should there have been an] i difficulty in effecting the reduction ; and means employed, which may luue rendered the part sore, the truss should not be applied at once, but bu) be per- milted to elapse, for the soreness to disappear. The patient, however, in the mean time, must remain in the recumbent posture ; for should he attempt to stand on his feet, the rupture will be almost certain to re-appear J when the same difficulties may be again to encounter, before it can be reduced, CHAPTER IX. TREATMENT OF IRREDUCIBLE HERNIA. When a hernia once becomes firmly adhered n the walls of the sac, but little hope remains for relief. Yet, rebel is sometimes obtained ; a 'lerefore, no case should he abandoned in utter hopelessness. It happens that Irreducible ruptures, esp, en large, are often of the omental kind, or at least, „, part. Now, il then- be any inte tin an be returned, pressure may be so applied : '''' 7' ' ' ■'■ y ■•'■ H.e o ion. If the hernia be sufficiently small, a concave pad attached to the ordinary spring, ca, ,„. sc. „ut jf ^ ' be of too great dimensions, a bag truss can he , 1<)r the same end. Persevering after this manner, aided sometimes by collateral means, win, a only he prescribed at the time to sua the circumstances ol the case, success is sometimes attained. But if all these means fail, there is another though one that greatly endangers life,-that of an operation to replace 4e bowel Yet T, ' ™ * rlenakC JU The CWeS '°r r™'^ are '-'-' «0 few. ^ - very pru- dently seldom recommended ' ' ' lr,\h'* l' ' he abandoned, the only thing that can be done, is to give the sac all possible support; winch ma, be done tolerably conveniently, by a bandage properl/consSncted i £ Byusmg tins precaution, much of the necessary inconvenience and danger is obviaTed y • ,7 t TT 'V 1 hkeW'Se PreVented fr°m increasinS S0 much in *™. ^hich i a very inpof. a r r:1 e°;;: T*'. nJU7 ^ ™ei°™™> °' — «««. ™« be especially g rd1 theifwaV no^^l^T^ ^ I <l0Ub'e' SCr°ta'' Reducible hernia, very large ; and which ..,, .„ ,. J „ ° '' ltS Prog'ess, be forgot his usual precaution, and gave liberal assist he w s idiro l^T'{ ' * '°,enl °'' ^ l° ^ '' * I ■•■ »' S btin7.om0edwt Z \*™ STtTp ** f™ h^, T*** ' ^ *™ pon -for it was the t^^^^J^^^T^^ ^^s operated found not to be injured, and was replaced with success. He ie aI recoVered fa,t° turned out, the accident of course ™ for tk. t» i ..r i -any cured. As the case An irreducible rupture, thou °h Umay e ca, I lit . chances were immensely against it. when the danger is increased. accident., 'S neVertl,eless subJe^ to strangulation,