The hernial sac ought in the first place to be fixed by the fingers of the assistant placed in the bottom of it, so that it may be prevented from sliding up along with the contents.
But all such means are visionary, and practically ineffectual; no external or internal remedy can attenuate and reduce the hernial sac, remove adhesion, or produce contraction of the tendinous and rigid apertures.
The operator was puzzled, but finally determined on cutting into this tumour; it proved to be the hernial sac, covered by the tunica vaginalis, containing three or four ounces of serum and a portion of omentum.
Hernial protrusion has received different names, according to the nature of its contents.
The local means employed were, excision of thehernial tumour, the application of the ligature, pressure, and caustics, either singly or together.
The cellular tissue intermediate between the integument and hernial sac becomes condensed, and forms a membranous lining.
The hernial sac seldom sloughs entirely; in almost every case its neck remains sound; to this remaining part the intestine adheres.
On cutting down in such a case, the hernial tumour may appear to be lodged within the tunica vaginalis; whereas the bowel is actually placed exterior to the tunic and behind it.
Defn: Manipulation applied to a hernial tumor, or to an intestinal obstruction, for the purpose of reducing it.
A constriction of the hernial sac, rendering it irreducible, but not great enough to cause strangulation.
This swelling can generally be made to disappear by pressure, and when it has been reduced one can easily recognize the direction and extent of the hernial opening.
This treatment acts by exciting considerable inflammation, which has the effect of causing swelling, and thus frequently closing the hernial opening and preventing the contents of the sac from returning.
In exceptional cases it may take place on the right side, and in such cases it also generally happens that some folds of the intestine pass into the hernial sac.
In other cases the womb escapes through a great laceration of the abdominal muscles to one side of the udder, and the hernial mass extends down to one side of that organ.
Lautschner thinks that the pylorus was bent in the hernial sac so as to be obstructed.
In one case it was found wound about the ileum; in another, spirally turned at its end and lightly adherent to a hernial sac.
Manipulation applied to a hernial tumor, or to an intestinal obstruction, for the purpose of reducing it.
In scrotal hernia when the patient is placed in the recumbent posture the contents of the hernial sac may be pressed into the abdomen and the finger following the receding hernial contents will slip into the opening of the external ring.
Paraffin was merely looked upon as an agent which might be used to plug a hernial opening and such plugging of a hernial opening is impracticable without histologic changes in the tissues to cause permanent closure of the hernial passage.
In effort to avoid puncturing of hernial sac and throwing paraffin into the peritoneal cavity the skin of sac injected with the paraffin.
Hyperinjection of a hernial canal should be religiously avoided.
Reduce the hernia and examine the margins of the hernial ring with care so as to be thoroughly acquainted with the character and situation of these margins.
Injection made into tissue surrounding thehernial opening with view of crowding margins together.
Umbilical hernia may be injected with a hypodermic needle building out from the margins of the hernial opening, but it is well not to inject with too great freedom.
Leading the horse up a very steep gangway or causing him to rear up may possibly cause the hernial portion to return to its natural position.
Special clamps are provided for taking up the fold of the skin covering the hernial sac and holding it until the adhesion is formed.
In many instances there is no occasion for treatment, and again, where the hernial sac is extensive, treatment is of no avail.
Still more rarely the wall of the vagina becomes relaxed, and being pressed by a mass of intestines will protrude through the lips of the vulva as a hernial sac, containing a part of the bowels.
A hernialprotrusion of the wall of the vagina may be pressed back and emptied, so that the body of the fetus engaging in the passage may find no further obstacle.
In both instances, the stomach, colon, and omentum form the hernial protrusions.
A "strangulated" hernia is one in which the circulation of the blood through the hernial contents is interfered with, by the pinching at the narrowest part of the passage.
The interference is at first slight, but it quickly becomes more pronounced; the pinched bowel in the hernial sac swells as a finger does when a string is tightly wound round its base.
Towards the centre of the body a hernial protrusion of the uterine horns and intestine had taken place.
That these secondary coils were not of the nature of hernial protrusions was evident, not alone from the nature of their contents, but also from the fact that they showed distinct anastomoses.
This makes the complete replacement of the rupture without cutting an impossibility, and in such cases even where the hernial opening is closed, treatment by injection only would not result in a permanent cure.
It causes also an adhesive inflammation limited to the hernial sac, that completely closes it.
The contents of a hernial protrusion through the abdominal parietes, correspond in general with those divisions of the intestinal tube, which naturally lie adjacent to the part where the rupture has taken place.
This hernial sac, 6 e, will vary as to its position in regard to the tunica vaginalis, 6 d, according to the place whereat it dilates the peritonaeum at the ring.
Footnote 1: The serous spermatic tube remains open in all quadrupeds; but their natural prone position renders them secure against hydrocele or hernial protrusion.
First, independent of hernial formation, the original serous tube may become interruptedly obliterated, as in Plate 40, Fig.
If it have ruptured the canal, the hernial sac appears devoid of this covering.
The hernial sac, invested by h, the elongation of the fascia transversalis, or funnel-shaped sheath.
When the bowel enters the open abdominal end of the serous tube, this latter becomes the hernial sac.
Cloquet, most of the serous cysts found around hernial tumours are ancient sacs obliterated at the neck, and adhering to the new swelling (opera cit.
The human species is, of all others, most subject to hernial in the groin.
When situated over one of the hernial openings, it closely simulates a hernia; and when it occurs in the middle line of the face, head, or back, it may be mistaken for such other congenital conditions as meningocele or spina bifida.
It was suggested by Morrant Baker that cystic swellings may result from the hernial protrusion of the synovial membrane between the stretched fibres of the capsular ligament, and the name "Baker's cysts" has been applied to these.
The peritoneum of hydrocele and hernial sacs and of the omentum readily lends itself to transplantation.
It is often stated that a ganglion originates from a hernial protrusion of the synovial membrane of a joint or tendon sheath.
Retraction of the thighs produced diffuse abdominal pain, more marked upon the right side than upon the left; careful examination of the hernial rings gave a negative result.
The above list will hopefully give you a few useful examples demonstrating the appropriate usage of "hernial" in a variety of sentences. We hope that you will now be able to make sentences using this word.
