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W34988 vector illustration of inguinal hernia in a child before and after surgery.
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W3494P vector illustration of an umbilical hernia in a child
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TBWCWN vector illustration of types of childrens hernia
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TBWB90 vector illustration of inguinal hernia of children
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2CHTCY9 . American practice of surgery ; a complete system of the science and art of surgery . er-form a true plastic operation and tried tosubstitute various kinds of blind suturing.The failure to extirpate the sac high up caused numerous relapses or partialrelapses, as when a scrotal hernia returned (or remained) as a bubonocele.Probably the simple removal of this sac would alone be sufficient to cure manysmall hernias without any suturing ,of the canal. As the muscles and the fasciaare denuded by stripping out the sac, they would often fall together as well with-out stitches as with them, and might
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2CHTB6H . American practice of surgery ; a complete system of the science and art of surgery . same sort of flap; the tensor vaginse femoris musclehas been dissected loose and turned upward to fill the canal; the scrotal skinand even the testicle have been invaginated to plug up the canal (measures ABDOMINAL HERNIA. 577 which (oiistitutc in a ((rtaiu scii.sc a flap method); bono grafts (Weir), spongegrafts, and whv HHgre(> have been inserted to meet the same indications. Inthis category should also be placed the obsolete method of McBurney, whopacked the hernial canal wide open, forcing it to heal
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2CDEXJG . Annals of surgery . s necessaryin cases where it should, perhaps, be specially avoided. In myearlier hernia operations I frequently inflicted pain where nownone is occasioned, owing to greater familiarity with the courseand distribution of the nerves concerned. In the accompanying sketch (Fig. 7) an attempt has beenmade to show diagrammatically the usual cutaneous distributionof the inguino-scrotal nerves as well as the deeper situationof the main trunks. Through the kindness of Dr. Bardeen Ihave been able to compare with my results a great number ofsketches made in the anatomical department
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2CDEXF9 . Annals of surgery . ingExt. Ring. Superfiua perineal I of Pudic Fig. 7.—Showing inguino-scrotal nerves, their peripheral distribution, and relationof the main trunks to the hernia incision. I. Ilio-hypogastric; IF. Ilio-inguinal; III. Genito-crural; IV. Genital branch ; V. Crural branch. Griffins article {Joiimal of Anatomy and Physiology^ 1891), wehave taken what may represent the average. Superficial Nerves encountered by the Incision,—The skin 24 HARVEY CUSHINO. incision, as ordinarily made, passes in a line which separates theventral and lateral cutaneous branches of the twelfth dorsal
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2CDAA76 . Surgery, its principles and practice . ernia should besubjected to operation, unless there bestrong contraindications, e. g., the coexist-ence of organic trouble of the kidney orheart, the advanced age of the patient, orthe great size of the hernia. In those casesin which operation seems unwise, ourefforts should be directed toward prevent-ing further increase in the size of thehernia and toward securing the greatestamount of comfort for the patient. Inmany cases all that we can do is to adjusta well-fitting scrotal bag, made of canvasor some other unyielding material, whichis held firmly ag
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2CDA96P . Surgery, its principles and practice . Fig. 22.—Oblique Inguinal Hernia, Complete. INGUINAL HERNIA. 55 . / Fig. 23.—Left Inguinal Hernia. as a complete or labial hernia. There is a much greater tendency for anoblique hernia in the male to become scrotal than for one in the femaleto become labial. In the female oblique inguinal hernia has a greatertendency to enlargedirectl}^ outward inglobular form, resem-bling direct hernia,than it has to enterthe labia. In the normal ingui-nal canal the externalring barely admits thetip of the index-fingerand one cannot pal-pate the internal ring.In a lar
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2CDA8FF . Surgery, its principles and practice . pread out in afan-like manner over theposterior surface of thesac, sometimes occupyingspace of an inch or more.In direct hernia, on the other hand, this intimate relationship between cord and sac does not exist, the cord is this variety of hernia being quite independent of the sac. The shape of an oblique hi- guinal hernia depends entirely upon whether it is complete or incomplete. In a bubonocele the tumor over the inguinal canal is usually elliptic in shape and is seldom very pro- noimced except on standmg or coughing. A scrotal hernia may assume a gr
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2AXED08 Veterinary medicine, animal castration, surgery and obstetrics simplified . gh the thin, white lining, flesh and skin,and so on until you have closed the opening. Rub on a littletar and the operation is complete. SCROTAL HERNIA IN THE HOG. THE RUPTURED BOAR,. Is castrated by making a long cut through the skin, dissect-ing out the white sack that covers the testicles and bowels, thesame as the stallion, but instead of using a clamp you willtie a stout string around the sack close to the body, and it is 162 THE RAM OR BUCK SHEEP, a good practice to have a needle on the string to take a stitchor
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2AX2M8A Surgery; its theory and practice . Method of treating the sac in Bishops Method for Radical Cure of Hernia, s. Sac. R. In-ternal abdominal ring. P p. Parietal peritoneum. In Fig. 298 the sac is hemmed roundwith a silk ligature. In Fig. 299 the sac is puckered upon outer side of ring. In Fig. 300the puckered sac is invaginated, and forms a button-like projection on abdominal aspect ofring. The silk ligature in all three figures has a needle at each end. (3) Barkers Method.—Barker dissects out only the neck ofthe sac, ligatures it, and cuts it through half an inch below theligature. The scrotal
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2AWYH58 The practice of surgery . al to the parietes, at the loweraperture, and thence descends into the scrotum in the male, consti-tuting an oscheocele, or scrotal hernia ; into the labium of the female,constituting labial hernia. The investments of the tumor are as fol-lows : externally, the integument; then the superficial fascia of theabdomen ; then the proper fascia, or fascia propria of Camper, consist-ing of fibres from the tendon of the external oblique; then the fasciacremasterica, consisting of fibres from the cremaster muscle; then theinfundibuliform, or transversalis fascia, consisting of
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2AWJPM4 A system of surgery : theoretical and practical . hus the tumour is called a bubonocele when tbe hernia has passedthe iuternal inguinal ring, but has not piotruded at the external, when, in fact, it isretained in any part of the inguinal canal. It is called scrotal hernia, or oscheocele,when it has passed through the external abdominal ring, and is therefore in thescrotum. We propose the following anatomical classification of the varieties of obli(pie in-guinal hernia. 1. Into the vaginal process of the peritonaeum (the congenital hernia of Haller,and subsequent writers). 2. Into the funicular
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2AKMDKG The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . cing a plug of the scrotum into the inguinalcanal, and fixing it there by exciting adhesive inflammation in the neckof the sac. The details of the operation are as follows. The patientl^ing on his back, and the hernia being reduced, the Surgeon pushes hisindex-finger up the inguinal canal as high as the internal ring, carryingbefore it a cone of the scrotal tissues ; a box-wood hollow cylinder,about four inches long (Fig. 672, C), well oded, is then pushed up asthe finger is withdrawn, so as to o
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2AKMBJX The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . Fig. 6S2.—Double Direct Inguinal Heraia: Neck of Fig. 6S3.—Double laguiual Her- Sac crossed by Epigastric Artery. nia on the same side: Oblique above, Direct below; separatedby Epigastric Vessels. Signs—The signs of inguinal hernia vary somewhat according toits character, whether inter.stitial, complete, or scrotal, oblique or direct.In the iiiterslilial hernia, a degree of fulness will be perceived in thecanal when the patient stands or coughs; and, on pressing the finger onthe internal ring, or
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2AKBTHW A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . 762 DISEASES OF THE REPRODUCTIVE ORGANS. of the enlarged scrotum. An indistinct feeling of fluctuation is noticedand the upper end of the tumor is rounded and does not extend up-wards into the inguinal canal. The swelling increases slowly frombelow upward and not from above downwards as a scrotal hernia.The scrotum, if made tense, will transmit the light of a candle held onthe side of it opposite to the observers eye. This test
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2AJMMWP Surgical anatomy : a treatise on human anatomy in its application to the practice of medicine and surgery . imes one of the exciting factors in production ofepithelioma of this part which, from the fact that it usually occurs in chimney-sweeps, is -called soot wart or chimne3-sweeps cancer. These furrows alsofavor retention of moisture, hence the liability of the scrotum to eczema and othercutaneous lesions. It is very elastic and permits of great distention, as is seenin large scrotal hernia, tumors of the testicle, and h3Tlrocele. Along the median line of the scrotum is the median raphe—a da
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W348Y9 vector illustration of an umbilical hernia in a child
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RE3EYN . Swine practice . Swine. SURGERY AND OBSTETRICS 353 about 90 per cent of the cases. It is occasionally observed in sliotes or older swine, and is in such cases probably the result of injury. This condition consists of a protrusion of omentum or a portion of intes- tine into the scrotum between the protruded intestine will be found outside the tunica vaginalis reflexa. Scrotal hernia may be limited or extensive; in some instances the scrotum may be as large as a gal- lon jug. Raising the hind parts of the pig usually permits of a por- tion of the protruded structure passing back into the abdom
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RE1C9A . Surgical diseases and surgery of the dog. Dogs. ^â ^ tihiP^'^ "*ri.-.^^ * ^pj^y Xn. G3. Inguinal TTernia in the Male.. No. G4. Scrotal Hernia.. Please note that these images are extracted from scanned page images that may have been digitally enhanced for readability - coloration and appearance of these illustrations may not perfectly resemble the original work.. French, Cecil, 1871-. Washington, C. French
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RDY0AH . Surgical diseases of the dog and cat, with chapters on anaesthetics and obstetrics (second edition of 'Canine and feline surgery'). Dogs; Cats. HERNIA 233 the bowel to become so much enlarged that it becomes in- carcerated, and would lead to gangrene of the bo-vel and septicaemia if unrelieved. Operation.âIf castration is done matters are greatl}' simpli- fied, as the prolapsed intestine is carefull)- returned under chloroform (the usual antiseptic precautions having been adopted), and an incision made into the scrotum down as far. Fig. 151.âAn Aged Yorkshire Terrier with Scrotal Hernia.1 a
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B72WNA scrotal hernia in a 58 year old male
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B718CX scrotal hernia in a 58 year old male
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