Notes on a Case of Strangulated Inguinal Hernia

It came down for the last time on the 14th March 1889 at 5 p.m. Taxis was applied repeatedly by his medical friends till 7 p.m., but to no effect. He got his admission into the Medical College Hospital at about 9 p.m. Ice application was tried here for 6 hours, but to no material good. At 3 A.M., of the 15th March 1889, he was put under chloroform and the operation of herniotomy with radical cure by extirpating the sac and bringing the walls of the canals together by kangaroo tendons was performed by Surgeon Jameson. The constriction was found at the external ring. The intestines were highly congested and of blueish color. The patient became low during the operation, but was kept up by the administration of stimulants and the subcutaneous injection of sulphuric ether. Subsequent progress and treatment.?Next evening his temperature was 101*2? F. and pulse was 72 per minute. Didn't pass any winds for teu days after the operation, but has been making water freely. He was in a most precarious condition for 10 days after the operation. The tongue was moist and cleau all along. Nausea and more or less vomiting persisted till the 24th March.