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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    opened. Some adherent omentum was found. This was removed after Hgature ; the sac was then ligatured at its neck and removed. Careful dissection was required, as the cord was found in the anterior wall of the sac. Eucalyptus spray and solution were used instead of carbolic acid. The temperature rose, in the evenings of the i6th, 17th, i8th, and 19th, to 99.1°, 99.6°, 101.2°, and 101.6, respectively, but became subnormal on the 20th, and did not again exceed 99.4°. There were, otherwise, no unfavourable symptoms. The child was fitted with a truss, as a matter of precaution, there being no appearance of any return of the hernia when he left. He was examined April 3rd, 1884, more than a year later, and was not wearing a truss. There was no impulse on crying, nor trace of hernia. XI.—Isaac H. S., aged 28, painter, was admitted on April nth, and left, cured, on May 13th, 1883. He had a rupture on the right side when a baby, and wore a truss for this until he was fourteen years of age. He then gave up wearing a truss, and had no trouble with rupture until twenty-four hours before admission, when a small strangu- lated inguinal hernia was found on the right side. Taxis being ineffectual, the hernia was cut down upon, under anti- septic precautions, the sac opened, a stricture at the internal ring divided, some omentum ligatured and removed, and the stump of this, with the liberated intestine, returned to the abdominal cavity. About one inch in width of the sac was removed near the neck, after a catgut ligature had been applied to it, as high up as possible. The operation was followed by retention of urine, and later by rise of temperature and symptoms of localised peritonitis ; but the patient was quite well when he left, and also when he was seen, eleven months afterwards, on April 3rd, 1884. He was wearing the truss which had been ordered when he left the hospital; but as the pressure had been applied over the femoral vessels, instead of over the internal ring, it was worse than useless. There was no tendency to re- appearance of the rupture. XII.—S. M., aged 40, French professor, had no history of previous illness. On February nth, 1884, he had slight