Practical Observations On Strangulated Hernia And Some of the Diseases of the U
Practical Observations On Strangulated Hernia And Some of the Diseases of the U
Joseph Parrish
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After dehberating on the case, Dr. Dewees and my- self concluded to recommend the operation at once^ and it was most readily submitted to by the patient. An anodyne enema was given, and two grains of opium were administered by the mouth. At this time the pa- tient had a tolerably good pulse, and no cold or clammy sweats; her tongue was rather dark; and her bowels somewhat tender to the touch. I made a crucial incision through the integuments, and dissected up the four flaps; then, principally b...y the aid of the grooved director, I divided several layers of fascia, and after dissecting carefully downward, I at last opened the sac, and exposed a large mass of omen- tum. I found considerable difficulty in this part of the operation, in consequence of there being no fluid be- tween the sac and the omentum. After I had fairly un- covered the omentum, still greater difficulties assailed me; for I found this mass firmly impacted together by pretty strong bands of adhesion: there was no appear- ance of intestine.
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