Identifier: refere07buck (find matches)
Title: A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science
Year: 1885 (1880s)
Authors: Buck, Albert H. (Albert Henry), 1842-1922
Subjects: Medicine
Publisher: New York : William Wood
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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e commenced wearing it. In adjusting a truss for femoral hernia, care should betaken to select a very light elastic spring, one that willclasp the body firmly with strength enough to hold thehernia, but not to press upon the nerves and arteries soas to cause discomfort. The bow of the spring shouldbe much shorter than for inguinal hernia, to prevent thecarrying of the pad so far forward as to press upon theramus of the pubis. Such pressure, although it may beslight, will soon become intolerable. The free end ofthe spring should be long enough and so shaped as toreach over and clasp the opposite hip, thus preventingthe liability of displacement. The pad should be small,ovoid, or triangular in shape, quite convex, soft and elas-tic, yet firm enough to retain its form. It should be soadjusted as to bed itself in Scarpas triangle ; its upperedge pressing firmly against Pouparts ligament. The ovoid form of water-pad will be found the bestfor the larger proportion of cases. A perineal strap
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Fig. 4113.—iemoral Water-pad Truss Applied. should always be used. Fig. 4113 represents such atruss applied. Various trusses have been devised for the radical cureof hernia, and many such are still advertised in the news-papers and journals. They are generally the product ofenthusiasts or charlatans—largely the latter. By hold-ing out the hope of a permanent cure, enormous sumsare obtained for them. A cure is guaranteed (?), with noother basis than the verbal assurance of the vender, themoney always being secured in advance. An occasionalclosure of the ring in an exceptional case—which maybe obtained with any truss—is heralded far and wide, andsecures fresh victims. Though differing in details, theyall act upon the same principle. A small oval projectionof wood, ivory, or hard rubber is usually placed in thecentre of a soft pad, as represented in Fig. 4114. Thisis placed so as to press into the external ring very forci-bly, with the hope of exciting adhesive inflammation,and c

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