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In the introduction to his edition of the works of Ambroise Paré, Malgaigne says that the first reference to a metal band in connection with trusses is to be found in Rhazes. Hernia was, of course, one of the serious ailments that, because of its superficial character, was rather well understood, and so it is not surprising to find that much of our modern treatment of it was anticipated.
He teaches that mothers may often be able to cure hernias, both umbilical and inguinal, in children by promptly taking up the treatment of them as soon as noticed, bringing the edges of the hernial opening together by bandages and then preventing the reopening of the hernia by prohibiting wrestling and loud crying and violent motion.
If the cord is small when the child is born, there will be less danger of hernia, but if it be a large one, then beware! It will not always be your fault if the baby's navel is not small and flat when you are leaving your case, but you will always be blamed for it, if it is not.
The opening was in the abdominal walls outside of the internal inguinal ring. The writhings of the intestines were very conspicuous through the walls of the pouch. Dade reports a case of prodigious umbilical hernia. The patient was a widow of fifty-eight, a native of Ireland. Her family history was good, and she had never borne any children.
The subserous lipoma arises from the extra-peritoneal fat in the posterior abdominal wall, in which case it tends to grow forwards between the layers of the mesentery and to give rise to an abdominal tumour; or it may grow from the extra-peritoneal fat in the anterior abdominal wall and protrude from one of the hernial openings or through an abnormal opening in the parietes, constituting a fatty hernia.
Among the Western Dénés it is believed that one or two transverse lines tattooed on the arms or legs of a young man by a pubescent girl are a specific against premature weakness of these limbs. The Thompson Indians of British Columbia thought that the Dawn of Day could and would cure hernia if only an adolescent girl prayed to it to do so.
The liability to femoral hernia is in like manner increased by the upright position. Now, if man has always been erect from his creation or, if that term be disliked, from his origin we have evidently nothing to hope from the future in the way of an amendment of this and other defects.
The court then went more deeply into the medico-legal evidence. It were tedious to follow the course of this long argument. After a lengthy dissertation on the progress of an acute indigestion and the effects of a strangulated hernia M. Devergie said that, as the poison existed in the body, from the symptoms shown in the illness it could be assumed that death had resulted from arsenic.
Congenital extroversion or eventration is the result of some congenital deficiency in the abdominal wall; instances are not uncommon, and some patients live as long as do cases of umbilical hernia proper. Ramsey speaks of entire want of development of the abdominal parietes.
The terrible physical strain brings on hypertrophy and valvular diseases of the heart, and many of them suffer from hernia. Occasionally one sees a veteran jinrickisha man, and it is interesting to note how tenderly he is helped by his confreres. They give him preference as regards wages, help push his vehicle up heavy grades, and show him all manner of consideration.
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