; immediately on this being done the hernia will often disappear into
the abdomen. If it does not, its reduction may be brought about by gentle
handling, endeavoring, if need be, to empty the organs forming the hernia
before returning them into the abdomen. After the hernia has been returned,
the hair should be clipped from the skin covering it and a compress
composed of 10 or 12 folds of linen or cotton should be applied, first
smearing the skin with pitch and then a bandage about 3 inches wide should
be passed round the body so as to retain the compress in position. The
lower part of the compress should be smeared with pitch, and also those
portions of the bandage which pass over it, so as to keep it solid and
prevent it from shifting. In some cases it will be found that the contents
of the sac can not be returned into the abdomen, and this generally arises
from the fact that some part of the contents of the sac has grown to or
become adherent to the edges of the umbilical opening. In such a case the
skin must be carefully laid open in the long direction, the adhesions of
the protruding organs carefully separated from the umbilicus, and after the
protruding parts have been returned into the abdomen, the sides of the
umbilicus must be freshened if necessary by paring, and then the edges of
the opening brought together by catgut stitches; the wound in the skin must
then also be brought together by stitches. The wound must be carefully
dressed every day and a bandage passed round the body so as to cover and
protect the part operated on.
In small hernias nitric acid has been used successfully in the same manner
as has been described in the treatment of ventral hernia. Sulphuric acid
has also been used for a similar purpose, diluting it to the extent of 1
part of acid to 3 or 5 of water. In thin-skinned animals the weaker
preparations ought to be preferred, and caution must be exercised in using
such preparations so as not to destroy the tissues on which they are
applied.
Another method of treatment is, after the contents of the sac have been
returned into the abdomen, to tie a piece of strong waxed cord round the
pendulous portion which formed the outer covering of the hernia. The string
is apt to slacken after two or three days, when a new piece of cord should
be applied above the first one. The constriction of the skin sets up
inflammation, which generally extends to the umbilicus and causes the edges
to adhere togeth
|