| OCR Text |
Show tI'U OBS'IRUCTIONS wmcn RESEMBLE HERNIA. II. Through the hole in the membrane of the thyroid f0. ramen for transmitting the obturator artery and nerve. III. Before the rectum, and betwixt the process of the pe' ritoneum, which serve as ligaments‘to the bladder, or to the uterus. This, however, after an unusual descent, may become or MECHANICAL onsrnecrlon. 172 rion, and the stricture of. the intestine consequent of strings, and partial adhesions among the intestines. There are others, as collection of hardened feces, stricture, and schirrous con" tractions in the great intestines; but to embrace all these, would lead us from our proper object, and not serve to throw additional light on the subject of strangulated hernia. hernia, with tumour in the perineum, or it may be felt by the finger in the vaginaa‘s. SYMPTOMS OP MECHANICAL ODSTRCCTTON IN THE INTESTINAI CANAL, AND 017 THE ILIAC PASSION. IV. From the openings in the back part of the pelvis, for transmitting the ischiatic nerve (techiatocelefiz Tunsn are, a sudden attack of "r at pain in the belly, followed by sickness and obstinate constipatio 2‘s. The pain DESTRUCTIOXS OF THE BO\VELS ‘NHICH IN THEIR SYMPTOMS RE~ SEJIBLE HERNIA. I): some of the older writers, we read of operations for Imdoing knots on the intestines, and other internal causes of obstruction. It has e 'en in our day been proposed to cut. into the belly of a young gentleman for this laudable purpose ; but the good sense and sober judgment of the consultants withstood the ingenuity of the preposer. The mind of the young Surgeon is to be put to rest upon this resource of art. The idea arose from mistake and ignorance among the itinerant rupture-doctors, who shewed the ignorant spectators the in»- testine of a common hernia among their handsjg. These are several causes of obstinate and fatal obstruction of the intestine; but the chief are volvulus, or intus-suscep» " See Denman. It will be protruded by the fullness of the bladder, and reccde when it is empty. Mr. A. Cooper. 1' See Heller's Case. 4, Saviard, Heller, and M. ll'evin (Mem. do l'Acad. de Pruss.) wereot‘ this opinion. The operation oi'Gasn-otoni_\ has been more spoken ofand rc~ commended lsy medical writers than by surgeons. often concentrates round the navel; there is a feeling as if a cord were tied there ; or there is a tightness or a corded feel: Eng across the upper part of the belly. Sometimes the pain is referable to some fixed part. There arises a flatulent dis» tension of the bowels in some other part of the belly, which rolls with great pain towards this spot ; is fixed there for a time, and then recedes gradually. At first the pulse is quick and hard ; afterwards more feeble, even thready and quick. With this change on the pulse, the countenance sinks, and gives signs of great anxiety. There is general restlessness, hickup, and foetid eructations. The abdomen becomes tense and painful, and pressure on it is insutferable. There is occasionally relief, and then again an accession of more violent suit‘erine‘. The hair is wet with perspiration; a cold sweet is on the surface; the pulse becomes weak, tlu‘eady, and ii" termitting‘, and the patient sinks. Before death the pain subsides ; but the anxiety and rest» iessness are not diminished; or at least the altered countenance denotes to the surgeon the death of the parts, which were painful while sensible. And often the friends are delud- "'e are told that the celebrated Nuek made adexterous surgeon cut into the belly, and \‘w‘itli draw the volt nine of the intestines. But dissection shews that ere the symptoms will indicate any further malady than a common colic, the volru~ ms, or mtus-susception is past reduction. It cannot be reduced even in thf . tad body, after the swelling" and accumulation ofthe internal roots * In hernia, or obstruct ion from any other cause, a stool, from the amp tying ofthe lower portion of the canal, is almost the necessary consequence ofth strangulation, That the patient says he had a stool after the fleece Sign ofthe violent symptoms, must not blind us to the other circumstances |
