The radical cure of reducible inguinal rupture / by Oliver Pemberton.

  • Pemberton, Oliver, 1825-1897.
Date:
1859
Catalogue details

Licence: Public Domain Mark

Credit: The radical cure of reducible inguinal rupture / by Oliver Pemberton. Source: Wellcome Collection.

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    flabby, and he liad an incessant cough. He had been ruptured for eighteen years, and for the last eight had not been able to wear a truss. The external ring communicated almost immediately with the abdominal cavity. Despite these drawbacks, the operation enabled him to wear a truss for the first time for eight years, and to keep his rupture effectually in place. In Case lY, aged 29, the plug remained firm, but the bowel descended slightly behind at the end of a fortnight. This patient suffered from obstinate stricture, frequently complicated by retention of urine; this latter condition being aggravated during the wearing of the instrument. In Case Y, aged 42, on the seventh day of wearing the instrument, an erysipelatous redness of distinct character, and accompanied by the ordinary constitutional disturbance, spread about the abdominal wall from the seat of puncture. The cylinder was at once removed, and the symptoms soon subsided. The man had a bad habit of body, and had lived freely. There was no undue pressure exercised, and not more than the ordinary slough at the seat of puncture. In Case XI, aged 7? the boy had a large scrotal rupture, observed at birth. The canal was shortened and much straightened. In removing the cylinder, on the seventh day, with ordinary gentleness, the plug of scrotum descended with it. There was free suppuration about the puncture, and a good deal of adjacent inflammation in the canal, so that the bowel did not protrude for some few days; but the internal ring was a very large one for so young a subject, or I might have hoped for the curative contraction and adhesion to have been set up, as in Case I. This ended, however, in the bowel coming down into the scrotum, as before. In Cases XII and XY are afforded good illustrations of the success of the operation in young subjects, their ages being respectively seven and five. In both instances the