The Cure of Rupture by Paraffin Injections — John Stuart Mill — John Shaqi
The Cure of Rupture by Paraffin Injections
John Stuart Mill · en
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. After diffusing the tissues of the canal or
ring a pad and binder should be applied and the patient given two
weeks interval to see if sufficient of the connective tissue has
developed to close the canal. If the hernia is not overcome and recurs
injections may be repeated.
Case Reports
Case 1.
Case 1 A. G.--Italian child, age twenty-eight months, female. (Ass.
Civ. Char. Disp.) Umbilical hernia protruding about one-half inch and
with an opening which may be filled by tip of index finger.
Parts thoroughly sterilized, hernia reduced and contents held in
abdominal cavity by pressure of index finger of assistant. The margins
of ring and the skin covering hernial opening injected with paraffin
of melting point 108. In effort to avoid puncturing of hernial sac and
throwing paraffin into the peritoneal cavity the skin of sac injected
with the paraffin. About half dram amount used. Operation Jan. 17,
1905. Jan. 18, 1905. Temp. normal. Parts sensitive. Cries and
struggles when parts touched. May 13, 1905. Last examination. Skin
somewhat red. Paraffin mass easily palpable. Skin red but not
sensitive.
Case 2.
Case 2 A. C. C.--Disp. W. P. Swedish boy, age 2 years and 9 months.
Injected Feb. 3, 1905. Hernia as large as walnut. Reduced. Finger of
assistant holding in contents. Injection made into tissue surrounding
the hernial opening with view of crowding margins together. Half dram
injected. Child crying forced contents into sac. Reduced and injection
under skin of sac and around margins of opening to plug. Nearly dram
paraffin used, melting point 108.
Parts moderately sensitive at end of week. No redness though paraffin
mass palpable close under skin and intimately connected with it. April
11, 1905. Last examination. No redness, no tenderness, no recurrence.
Case 3.
Case 3 T. F.--Teamster. Irish parentage. Age 20. A. C. C. Disp.
Bubonocele, left side. First noted four weeks previously. Operation
May 14, 1905. Area sterilized. Small area of skin infiltrated with a
one percent solution of cocain. Paraffin melting point 108, injected
over area of prominence of bubonocele and into upper portion of canal.
Two punctures made a dram and a half of paraffin injected. Parts
sensitive for three days so that patient walked without bending thigh
at hip joint. No temperature. Local applications. Codeine given in
quarter grain doses every two hours. Fourth day parts much less
sensitive, can bend leg freely in sitting or walking. Area prominent
from swelling but no impulse. Examination June 25, 1905. No pain, no
tenderness, no impulse, prominence in region of internal ring slightly
greater than on opposite side.
Case 4.