File:Modern surgery, general and operative (1914) (14779402641).jpg

Identifier: modernsurgerygen1914daco (find matches)
Title: Modern surgery, general and operative
Year: 1914 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery Surgery, Operative
Publisher: Philadelphia, London, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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uinal regions. A ven-tral hernia may be median (herniaof the linea alba) or lateral. Thetreatment is radical operation.Epigastric hernia is a form of ventral hernia. In this condition there isa protrusion of the peritoneum in the space bounded by the ensiform cartilage,the ribs, and the umbilicus. The sac of peritoneum may be empty, maycontain omentimi, or omentum and bowel. The stomach very rarely passesinto the sac. The protrusion is usually, but not invariably, through the lineaalba. The condition may be due to a congenital gap in the transversalisfascia or to the growth of a fat hernia. This condition may cause abdominalpain, epigastric pain, nausea and vomiting after eating or eftort, and, accordingto Farrar Cobb (Annals of Surgery, Jan., 1912), chronic diarrhea. Cecal hernia is very uncommon in w^omen. It may be either congenital,infantile, or acquired. If a vaginal process is open the cecum may readilyenter it, it may be drawn in by the plica vascularis as the testicle descends
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Fig. 767.—a, Scrotal hernia; h, congenital her-nia; c, funicular hernia; d, infantile hernia; e, encystedhernia. Varieties of Hernia 1161 (Wrisberg), it may be drawn in by a descending testicle the posterior perito-neum over which has formed adliesions to the cecum. Most acquired cecalherniffi are preceded and caused by hernia of the small gut, but they mayoccur alone. In the simple form the cecum is completely covered by a coat ofperitoneum and Hes within the sac. Usually there is a complete surroundingsac, but sometimes the sac only partially covers the cecum hing in front and tothe inner side. In these cases the cecum is on the posterior and external aspectof the wall of the sac. The appendix may be in the sac, outside of the sac, orpart may be within and part without. If the sac is incomplete, it means thatwe have one of the iS per cent, of cases m which the cecum is not completelycovered with peritoneum. A cecal hernia may be and usuallv is right inguinal,but may be right femor

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