Author, U: Edinburgh Medical Journal, Vol. 13

Excerpt from Edinburgh Medical Journal, Vol. 13: Combining the Monthly Journal of Medicine and the Edinburgh Medical and Surgical Journal; Part II, January to June, 1868

The reduction into the abdomen of a hernial sac, with its contents in a state Of strangulation, is an occurrence so rare in the practice of Surgery, that systematic teachers and writers generally seem to regard it as a subject hardly deserving Of their notice. Mr Teale, Of Leeds, in his excellent work on hernia, has collected and presented in a tabular View all the cases of this kind which have been recorded by Arnaud, Dupuytren, and, more recently, Mr Luke, Of London, from which it appears that the only instances of an Operation per formed with success, under such circumstances, in Great Britain, are one recorded by the last-mentioned gentleman, and another by Mr Wade. I have several times been asked to see patients on the point of sinking under the effects of this reduction in mass, as it is termed by the French surgeons; and on two occasions have had an Opportunity of examining the parts concerned after death. The stricture caused by the neck of the sac was then so Obviously the cause Of death, and might have been so easily remedied by incision, that the non-performance of an operation within due time seemed matter of deep regret, and suggested as an imperative duty to Operate whenever the grounds of suspicion should warrant this proceeding.

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