Synopsis
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1863 Excerpt: ...or from too great an amount of violence in making taxis. Every irreducible hernia is usually reducible in the first instance, and those which are found irreducible are, therefore, generally of some weeks' or months' standing. When the contents of a hernia are chiefly Intestine, the tumor will be elastic and springy, especially when the patient coughs. Gurgling is also heard at the moment of reductiou, and the rumbling of flatus may occasionally be felt in the tumor. "When the contents are Omentum, the tumor has a more doughy feel, gives a less distinct succussion to the finger when the patient coughs, creates no rumbling, and is less painful. Diagnosis.--The diagnosis of each variety will be given hereafter. Prognosis.--Reducible hernice may exist for years and not destroy life, and, beyond the mere inconvenience of hulk, do not seriously trouble the patient. But so long as a hernia exists, and is not properly kept op within the cavity of the abdomen, so long is the patient exposed to strangulation and sudden death, living as if the sword of Damocles were constantly snspended over him. ready to fall without a moment's warning. Treatment.--The general treatment consists in reducing the hernia, and keeping it within the abdominal walls, as hereafter mentioned. In reducible hernia;, the tumors containing intestine are generally mnch more readily replaced than those containing omentum, as the constriction at the neck of the sac, which is always more or less present, interferes so rapid!? with the circulation in the omentum, that effusions take place, and it soon becomes very difficult to replace it in the abdomen. Another change which takes place, commonly after a very short time, eren in the reducible hernias, is the contraction of adhesions between the h...
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