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—Man aged 72. Ruptured forty years. Retention with truss always difficult ahd painful. For two years the hernia had not been reduced and had grown to enormous size. During examination the intestinal portion, representing about three fourths of its bulk, was reduced by taxis with some difficulty but an omental portion remained irreducible. A truss was adjusted but the hernia could not be retained. The man had chronic bronchitis and the paroxsyms of coughing soon sent the intestine under the truss. Radical cure by operation was recommended and accepted. Previous to operation the patient was kept in bed for two days and the cough much allayed by an anodyne mixture.Chloroform was administered, the sac opened and a large mass of omentum, the lower end of which was firmly incarcerated in a small pouch, was removed after ligation with fine silk. The operation was finished after the manner
ROCKEY AE. OPERATIONS FOR THE RADICAL CURE OF HERNIA IN PERSONS OVER SIXTY YEARS OF AGE. JAMA. 1897;XXVIII(8):349–353. doi:10.1001/jama.1897.02440080015002c
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