Identifier: minorsurgeryband00whar (find matches)
Title: Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, etc.
Year: 1902 (1900s)
Authors: Wharton, Henry R. (Henry Redwood), 1853-1925
Subjects: Surgery, Minor Bandages
Publisher: Philadelphia, New York, Lea brothers & co.
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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should notremove it until he is in bed in the recumbent posture, andhe should reapply it before he rises in the morning. Inchildren it is better to have the truss worn continuously ; TR USSES. 257 and if it is removed for bathing, the nurse should beinstructed to place her finger over the ring to prevent de-scent of the hernia until the truss is applied. In apply-ing trusses to male children care should be taken not tomake pressure upon an undescended testicle. Trusses for Inguinal Hernia.—In measuring a patientfor this form of truss* the circumference of the body mid-way between the crest of the ilium and the great trochan-ter should be taken, and the distance from the symphysispubis to the anterior superior spinous process of the iliummay also be given, as half of this distance corresponds tothe position of the internal abdominal ring. In reducibleinguinal hernia the truss-pressure should be exerted uponthe inguinal canal and directly backward. To control this Fig. 170. Fig. 171.
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Truss for inguinal hernia. Hoods truss. variety of hernia, a single-spring truss (Fig. 170) may beemployed, or the use of a truss having a double springwith flat pads on each side of the spine attached to thesprings, and a smaller pad over the inguinal canal on theunaffected side, with a full pad on the side of the hernia,will often be efficient. This, which is known as Hoodstruss, is one which will be found a very satisfactory in-strument both in inguinal and femoral hernia (Fig. 171).Trusses for Femoral Hernia.—In measuring a patientfor this variety of truss, the circumference of the bodymidway between the crest of the ilium and the great tro-chanter should be taken ; the distance of the saphenousopening from the symphysis pubis, as well as from theanterior iliac spine, should also be taken. In reducible 17 258 MINOR SURGERY. femoral hernia the truss-pressure should be directed back-ward against the femoral canal, and the pad should belarge enough to make pressure upon the adjacen

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