Gastrostomy, radical cure of hernia, and thyroidectomy : an address delivered at the opening of the Section on Surgery at the Annual Meeting of the British Medical Association, held in Belfast, July and August, 1884 / by Sir William Mac Cormac.

  • Maccormac, William, Sir, 1836-1901.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: Gastrostomy, radical cure of hernia, and thyroidectomy : an address delivered at the opening of the Section on Surgery at the Annual Meeting of the British Medical Association, held in Belfast, July and August, 1884 / by Sir William Mac Cormac. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    after the operation, the relief appeared complete. There was only a very slight bulging on coughing, equal in degree in both inguinal regions. He suffers from asthma. IX.—John v., decorator, aged 54, was born with a scrotal hernia on the right side, and wore a truss until he was 16 years old. He went without a truss from 16 to 46, but had been obliged to wear one for the last eight years. The hernia had been irreducible, with symptoms of strangulation, for twenty-four hours. Under antiseptic precautions, the hernia was operated upon, the contents were returned, and a circular ring of the neck of the sac, which was very thick, removed. The patient was admitted on December 26th, 1882, and left, cured, on March 13th, 1883. He was a feeble man, prematurely old, and became delirious a few days after the operation ; the wound suppurated, and he suffered from general rheumatic pains, and had a very dry tongue ; the temperature rising to 104° on the 6th, the day after operation. Ten days after the operation, he had some diarrhoea, and more than a month after, tonsilitis. The operation-wound healed quickly. A large abscess formed over the right scapula, which was opened anti- scptically. After the incision of this abscess, the tempera- ture, which had been very irregular, became normal, and the patient left, having no appearance of any hernia when last seen. April 3rd, 1884, eleven months after the operation, there was no trace of any reappearance of the rupture ; the im- pulse was quite equal, on coughing, in each groin, and only to a slight extent. He had not worn a truss since leaving hospital; he was able to ascend a ladder, and work hard all day without inconvenience. X.—Ernest B., aged 3, was admitted March 15, and left, cured, April i8th, 1883. For some months the child had had a hernia on the right side. The day before admission it became irreducible, after a fit of coughing; symptoms of strangulation came on, and the hernia, which was con- genital, was relieved by division of the fibres external to the sac, about twenty-four hours after the symptoms appeared. After the contents were apparently returned, the sac was