The New Orleans Medical and Surgical Journal, Volume 68

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J.A. Gresham, 1916
 

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Page 139 - Pathologic Technique. A Practical Manual for Workers in Pathologic Histology, including Directions for the Performance of Autopsies and for Clinical Diagnosis by Laboratory Methods. By FRANK B. MALLORY, MD, Associate Professor of Pathology, Harvard University ; and JAMES H.
Page 315 - All the hernias herein considered were external hernias, that is, their outermost overlying saccular covering was skin, and each, after reaching a certain stage of development, gave rise to a more or less visible, and palpable, external swelling in the ischiatic, obturator, ventral, femoral, inguinal or other region, depending upon the anatomical location of the hernia. I wish to formulate some conclusions based upon quite an extensive study of the literature and also...
Page 322 - In the female, the inguinal canal in its normal state and after an inguinal hernia operation, in its restored state, should, outside of a few arterioles and nerve filaments, contain nothing but the round ligament, a structure much smaller than the spermatic cord. This round ligament comes from the muscular structure of the uterus; it finally becomes lost in the labium majus. In a hernia operation, the round ligament, if not the seat of disease, should never be sacrificed. (d) Always make a high and...
Page 320 - Women who suffer from any form of hernia should be carefully watched before, during and after their confinement so as to prevent or rather minimize any undue strain upon weak regions of the abdominal wall. These women, at the close of lactation or towards the end of the first year following their confinement, should, in the absence of contraindications, be subjected to an operation for radical cure of the hernia.
Page 810 - DC, at $900 per annum, with maintenance, and vacancies as they may occur in positions requiring similar qualifications, unless it is found to be in the interest of the service to fill any vacancy by reinstatement, transfer, or promotion.
Page 315 - ... other chapters of surgery. The escape of the uterine appendages from their normal situation may take place through any of the weak spots or openings of the lower abdominal or abdomino-pelvic cavities. A hernia originating either in the internal or In the external inguinal fossae and escaping above Poupart's ligament is an inguinal hernia; if escaping beneath the same ligament, it emerges through the crural canal and the saphenous opening, it is a femoral hernia; if through the obturator canal,...
Page 317 - In individuals having a hernia of a tube, an ovary or of a tube and ovary, pathological states of other internal genitalia or of some external genitalia may be -present: — Vaginitis, ovarian cystoma, uterine fibroid, uterine prolapse and other uterine displacements, etc. 6. These hernias may co-exist with pathological states of organs other than the internal or external genitalia: — Chronic hydrocephalus, multiple stenosis of intestines, hydronephrosis, etc.; these co-existing pathological states...
Page 319 - ... d. Enteroceles, epiploceles, and entero-epiploceles. e. Feeble development or atrophy of the aponeurosis of the transversalis muscle, and of the conjoined tendon. This factor is an important one in direct inguinal hernia.
Page 321 - Early operations give the most satisfactory results. 33. The mortality of operations for the radical cure of hernias, if performed at an opportune time and by a rapid operator, competently assisted, is practically nil.
Page 319 - ... a. Acute or chronic diseases debilitating the organism, especially such as cause great emaciation. b. Obesity weakens the abdominal wall and increases the intra-abdominal pressure. The fat present in the abdominal wall, in the omental, mesenteric, and other peritoneal folds explains why obesity plays such a role in hernia development. c. Traumatism. Most often the traumatism does not cause the hernia, but only reveals its existence. Among traumatisms must be mentioned abdominal operations and...

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