Clinical lectures on surgery, delivered at Hôtel-Dieu in 1832 / by Baron Dupuytren ; published by an association of physicians ; Translated from the French, by A. Sidney Doane.

  • Dupuytren, Guillaume, 1777-1835.
Date:
1833
Catalogue details

Licence: Public Domain Mark

Credit: Clinical lectures on surgery, delivered at Hôtel-Dieu in 1832 / by Baron Dupuytren ; published by an association of physicians ; Translated from the French, by A. Sidney Doane. Source: Wellcome Collection.

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    4 + + L. 4 0 à of the sac, er least unless we proceed asif for the | ‘ ‘w. the external iliac artery, by raising the serous membrane. 4 is method mi t be employed ; butt rocess 5 use | + * ‘more Simple and ‘les de it: consists: ing an? the herniaithrough the inguinal ring, certain | ng} | + Le: innef face of Ahi: opening, and of: seizing it a hey à ; é ‘and bringin +e it outward, with or without cutting the. edges of, the ring. If we examine the | pe through the cri of pis we see that it is situated in t fossa, a littl . More on th outside in. crural hernia, and er r inward an . more dec À tn inguinal hernia. It presents a narrow an ‘close opening, through which ‘the two ends of theainitd ine pass, and form a fold in the cavity of the sac. In this part, ‘the intestine is compressed, contracted, thin, strangulated, and gangrenous, the upper part more frequently than the lower : the former i is so much dilated as almost to tear; the latter is thin and empty, and resembles the intestine of a child. The anatomical relations of the tumor being known, we come to the other symptoms.» The pain and the tumor are “not the only.ohes which show the continuance of the stran- « ~~ gulation in the belly : in pressing down the abdominal parietes, ©: wetfela greater or less resistance, which is sometimes perceived | at the ring, either by introducing the finger into this opening, | _ or by making the patient cough : the effort made by the tumor - to emerge, in dilating the canal, and sometimes on raising the skin which covers it, must also be considered. But that which is most characteristic, is the continuance and nature of the ; vomitings. Slight vomiting i is not sufficient fo. establish the * existence of an internal strangulation ; but the vomiting should - be excessive, and present a peculiar character. Mucous or, * bilious matter would indicate an irritation, a gastritis; or an” - enteritis, as well as a strangulation ; ; but vomitings of a yellov v liquid, having the odor of feces, will remove all doubts: when % * this symptom co-exists with: the dy Mitesh we must adr it tha L 4? 3 a i, ee, ae ae * Ko ; ty ‘ bie y Phy je ‘à 7? oe * Je | ; , , Ae = »* - a ~ * | = a %, ‘ | : q = + ” - * * . iG ‘. ” , 3 | x oy ° ety d | sé * © , . * : “ = à À. at 4 . ~ LE + P | ee Me 4