File:Interstate medical journal (1903) (14778932571).jpg

Identifier: interstatemedica1019unse (find matches)
Title: Interstate medical journal
Year: 1903 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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ospital, finding no trouble in reducing the herniated small intestine andin excising the sack. The wound in the peritoneum was sewn up together with RADICAL CURE OF ABDOMINAL HERNIA. 467 all the layers found behind the rectus muscles, the posterior aspects of whichhad been extensively bared by blunt dissection. Within the cleft thus formed Iimplanted a filigree unlike any I have described and consisting of two segments.Each of these segments was really two-thirds of a filigree like No. 2, as far aslength is concerned, the width being unchanged. Each of these segments wasfour by three and three-eighths inches large, and when they had been intro-duced so that the broad ends overlapped, there resulted a net whose dimensionswere three and three-eighths by six inches. With the muscle wound held well open, the narrow end of the lower seg-ment was anchored by a suture to the periosteum of the pubic bone, and the nar-row end of the upper one was fastened in similar manner to the fibrous linia
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Fig. 10. Fig. 11. alba, as high up as the under surface of the recti muscles had been undermined;then the two overlapping segments were united by a single wire, which boundthe longitudinal connecting bar of each firmly together. Cut No. 9 shows theoutline of these two segments, and the appearance presented by the over-lapped broad ends can be imagined. The edges of the recti could now be com-pletely joined over the contrivance, but the anterior sheath could be approxi-mated in only a part of the wound, leaving a gap of perhaps an inch. The skinwas sewn tight and the woman kept in bed three weeks, everything having healedperprimam. Her condition on getting up was most gratifying; the photographstaken a few days later show that there was no more hernia, refer to cuts No. 10and Xo. 11; while the subjective manifestations were equally satisfactory, therewas no more colic or weakness, in fact not a symptom of any kind, her very fa- 4G8 SHERER. cial expression was different, she was indeed

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