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December 23, 1983

Coughing After Inguinal Herniorrhaphy

JAMA. 1983;250(24):3281. doi:10.1001/jama.1983.03340240013009

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To the Editor.—  I recently had an inguinal herniorrhaphy during a residing respiratory tract infection with increased and thickened tracheobronchial secretions. On the afternoon of the operative day, I was bothered by a laryngeal irritation and rattling of secretions in the trachea. Because of pain in the incision, I was unable to develop a cough sufficient to raise the secretions from the tracheobronchial tree when lying or sitting in bed and compressing the wound with the hands.I found that by squatting slightly bent forward on the floor, I was able to splint the wound by compression of the flexed thigh against the abdomen. In this position, one or two coughs were sufficient to clear the tracheobronchial tree of mucous secretions. I did this a few times a day for several days until the secretions disappeared.I think this method of squatting slightly bent forward to compress the abdominal wound