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[Read before Union District Medical Society, Oxford, Ohio, Oct. 25, 1883
When operating for obstructed or strangulated inguinal hernia, the surgeon is frequently embarrassed by questions that arise in relation to the best method of dealing with the omentum so often found in the hernial sac, as he generally finds this structure greatly changed from its normal condition, by either inflammation or hypertrophy, the latter condition being commonly met with in old cases of irreducible hernia.
The omentum is well known to be much less capable of resisting the effects of inflammation than the intestine; this is especially true when it is loaded with fat, as it nearly always is in corpulent subjects. In such cases a degree of compression that only very slightly endangers the bowel is sufficient to deprive it of vitality. At the same time the visible effects of inflammation of the omentum are less marked than
WEIST JR. TREATMENT OF THE OMENTUM IN OPERATIONS FOR OBSTRUCTED OR STRANGULATED INGUINAL HERNIA.. JAMA. 1883;I(20):584–587. doi:10.1001/jama.1883.02390200008001a