Practical observations in surgery : illustrated by cases / by William Hey.

  • Hey, William, 1736-1819.
Date:
1810
Catalogue details

Licence: Public Domain Mark

Credit: Practical observations in surgery : illustrated by cases / by William Hey. Source: Wellcome Collection.

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

    187/658 (page 163)
    out injury, better than the omentum. When CHAP, there is a necessity for cutting off a portion of omentum, or separating it from the hernial sac, or taking up any of its divided vessels; /these operations may be executed with greater safety after the reduction of the intestine. I once saw the coats of the intestine so thickened in a scrotal hernia, that it resembled a lump of muscular flesh, rather than a portion of intestine. I was obliged in this case to make a large division of the abdominal ring before 1 could effect the reduction; and even then the intestine was not reduced without difficulty. After several ineffectual attempts, I succeeded by the following method: I stood with my right side to the left of the patient; then placing my fingers round the extremity of the intestine, and directing them upwards behind it, I gently pushed up the highest part of the intestine, while the palm of my hand supported the most depending part. This method I have found useful in several cases where reduction is difficult. I must refer my readers to the works of other authors, for an account of die treatment of the intestine, when it is lound in a gangren- ous state. I have seen several such cases, but the termination of them in general was m 2 fatal,