On a case of internal strangulation of the bowel by a band, associated with a reducible hernia : successfully treated by operation, with remarks / by Thomas Bryant.

  • Bryant, Thomas, 1828-1914.
Date:
1867
Catalogue details

Licence: Public Domain Mark

Credit: On a case of internal strangulation of the bowel by a band, associated with a reducible hernia : successfully treated by operation, with remarks / by Thomas Bryant. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    that no vomiting or abdominal pain had taken place; he had passed a quiet night, having slept at intervals; his pulse was of good power, 90; countenance quiet and free from anxiety; tongue moist j abdomen flaccid. He had taken three grains of opium during the twenty-four hours and a little ice. Some ice and milk were ordered for him, and another pill of opium at night should it be required. On January 3rd, or second day, he was going on as well as possible; he had passed a good night and was free from pain. He had passed flatus per auum during the night. There was no single symptom to cause alarm. The wound was healthy and had nearly healed. Beef-tea and bread were ordered. A daily report after this date is clearly unnecessary, for everything went on as satisfactorily as could be wished. The bowels acted naturally on the evening of the third day, and again on the fourth and fifth; he then took solid food and some little wine. When I saw him again on January 8th, or the ninth day after the operation, he was convalescent; the wound had nearly completely closed, and in all other respects he was well. Remarks.—I have been induced to bring this case before the notice of the Fellows of this Society from the belief that it is of sufiicient rarity to be worthy of their attention, and from the feeling that it is a type of a large class of cases in which surgery has hitherto done but little; but in which I am disposed to believe that there is much to be done. The case must be regarded essentially as one of internal strangulation of the bowel from a fibrous band; the hernia had evidently nothing whatever to do with the symptoms; it was an accidental association of the more serious condition. It is true that it is possible the presence of a hernia for twenty-five years might have led to the formation of the internal band, and have thus been an indirect cause of the strangulation; but there is no positive evidence that such was the case, for these internal bands are found at least as frequently without the existence of a hernia as with, if not more so. Practically, the two conditions must be regarded as