On rupture, inguinal, crural, and umbilical : the anatomy, pathology, diagnosis, cause and prevention : with new methods of effecting a radical and permanent cure embodying the Jacksonian prize essay of the Royal College of Surgeons, London, for 1861 / by John Wood.

Date:
1863
Catalogue details

Licence: Public Domain Mark

Credit: On rupture, inguinal, crural, and umbilical : the anatomy, pathology, diagnosis, cause and prevention : with new methods of effecting a radical and permanent cure embodying the Jacksonian prize essay of the Royal College of Surgeons, London, for 1861 / by John Wood. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    seem much affected by the disease. Wires removed on the 17th. On Dec. 3rd, the lower wound was entirely healed, and the upper one nearly so; fitted with a horse-shoe truss-pad, and discharged. On the 14th, shown in the theatre ; cough impulse firmly arrested at the deep opening. On Jan. 26th, again examined (and also on March 16th), having had several severe epileptic fits in the interval, in one of which he cut his face very severely. The inguinal canal and rings quite un- changed ; a firm hard cicatrix in their site; no impulse or bulging. The truss fitting rather loosely, was properly adjusted. Case 58.—John Weller, get. 42, a labourer, a stout, healthy-looking man, sent to me by Mr. Hart, of Welbeck-street, with a double rupture. Both ruptures were oblique, and enormously large; that on the right side was nearly the size of a child's head, and of ten years' standing ; that on the left somewhat smaller, and of two years' growth, but gave him much pain and uneasiness. No truss whatever would keep up either rupture, and being thereby almost totally incapacited, he was urgent that an operation should be done on the side that gave him most pain. Operation done .by cross wires (Fig. 36, page 123) on Nov. 9th, 1862; wires fastened over a boxwood pad. Bandage removed on the 13th; pad removed on the 15th ; no pain, sickness, or tympanitis. Appetite uninterrupted since the operation; was eating heartily the day after the operation; the tongue barely whitened. 24^A.—More discharge of a healthy character; no pain whatever. A very large mass of consolida- tion fills up the hernial rings, and extends into the sac in the scrotum; some swelling of testis and cord ; takes middle diet and a pint of stout daily. Dec. 3rd.—Swelling of testis and cord entirely disappeared. 7th.—Wires withdrawn without difficulty; very little discharge; a large amount of consolidation all over the groin. 10 th.—Up and about the ward to-day. 17th.—Discharged with a double truss with ring pads, a large one on the right side, and a smaller on the side operated on. This is effective in retaining also the side not operated on; wounds healed. Jan. 26th, 1863.—Showed himself to-day; the truss has shifted, and fails to keep up the large rupture when at work; there is also some bulging of the side operated on, but he does not feel any of the pain complained of before the operation. Truss to be readjusted to the parts, and constantly worn. Case 59.—Captain G , set. 42, operated on Nov. 14th, 1862, for an oblique inguinal hernia of the left side, of some years' standing. It is of considerable size, scrotal, and incapacitates him for active duty. The ordinary wire method employed. Had no pain after the operation, and slept at night without sedative; pulse and tongue unaffected.