A treatise on ruptures : containing an anatomical description of each species ; with an account of its symptoms, progress, and treatment / by William Lawrence.

  • Lawrence, William, Sir, 1783-1867.
Date:
1810
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on ruptures : containing an anatomical description of each species ; with an account of its symptoms, progress, and treatment / by William Lawrence. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    protrude directly from the abdomen. The sper- matic chord cannot be felt, and if it could, its position could not be relied on as an indi- cation of the course of the hernia. In case of doubt, RouGEMONT* dirccts us to divide the ring directly upwards, i. e. in a course parallel to the linea alba, as the artery can never be en- dangered by cutting: in that direction. Mr. Coo- per adopts this practice of Rougemont, and fol- lows it in all cases; very rightly considering that a multiplicity of directions, adapted to various circumstances, might confuse those, who are but imperfectly acquainted with the structure and relative position of the parts; andlhat, on this account, it is desirable to lay down a general rule, which may be followed without danger in •very instance of inguinal rupture. The precise * Je crois d'aprei cela, qu'il est permis de croire qu'on courre moins de risque de leser I'artere epigastrique en in- cisant en haut et en dehors, qu'en incisant en haut et en dedans J que pour reconnoitre exactement la disposition de *' cette artcre, il faut s'assurer de la position du cordon spar- matique relativement aa sac J et suppose que ccla soit im- possible, il faut inciser au milieu du bord superieur de I'anneau,—Note to Rich per, p. 125. Petit divided the stricture directly upwards in the bubo- nocele. Having placed the edge of his instrument against the upper angle of the wound, he says, Je le pousse en dedans, *' en appuyant le tranchant vers le haut. T. 2. p 3<)7.