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August 19, 1893

STRANGULATED HERNIA.Read at the Meeting of the Inter-County Medical Society, held at West Superior, Wis., July 11, 1893.

Author Affiliations


JAMA. 1893;XXI(8):266-270. doi:10.1001/jama.1893.02420600016001d

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I would like to consider with you to-day the subject of strangulated hernia. Probably the two most important surgical subjects before the profession just now are appendicitis and hernia. Every cemetery contains the graves of patients who have unnecessarily died from these affections.

The frequency of hernia varies somewhat at the different periods of life. It is met with very frequently during infancy. During early life it is generally of the congenital inguinal variety and is more common on the right than on the left side, probably owing to the fact that the root of the mesentery occupies a lower position on the right side. The greater proportionate length of the mesentery in infancy greatly favors the occurrence of hernial protrusions of the intestines during that period of life. Mr. Lockwood has shown that the mesentery in the infant measures one-fifth the length of the body, at puberty one-eighth and

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