The Cure of Rupture by Paraffin Injections — John Stuart Mill — John Shaqi
The Cure of Rupture by Paraffin Injections
John Stuart Mill · en
Case 7 A. Y.--Femoral hernia. Female, age 35, A. C. C. Disp. Worker in
tailor shop. History of case indefinite as to length of time present.
Never been treated in any way. Operation March 21, 1906. Injection of
forty minims of paraffin through saphenous opening and about ten
minims through Poupart's ligament. Codeine discontinued at end of
fourth night. Tenderness slight. No recurrence at end of twenty days.
Patient not seen subsequently.
Case 8.
Case 8 E. H.--Marshalltown, Iowa. Private patient. American born.
Varicocele on left side and oblique inguinal hernia. Operation April
16, 1906. Infiltration and removal of dilated veins in scrotum. Wound
closed and inguinal canal followed by large needle. No blood aspirated
and cold paraffin mixture with melting point 115 injected along canal.
About forty minims thrown along canal and then puncture made at site
of internal ring and half dram diffused at this point.
Personal communication one year later making final payment for
operation. Patient cured and grateful.
Case 9.
Case 9--Italian section worker wearing spring truss for holding of
inguinal hernia. Strong pressure of truss making marked depression at
site of internal ring. Patient injected with dram and half of paraffin
of melting point 115. May 20, 1906. Agent deposited along canal and at
internal ring. One week later no pain, no tenderness to moderate
pressure. Cord somewhat larger than normal and epididimus thickened
but not tender. Shreds in urine. Through interpreter information
gleaned that epididimus had been somewhat tender following operation.
History of acute epididimitis some months before.
Case 10.
Case 10 A. J.--Patient first consulted at Harvey dispensary. Treated
for urethral stricture by internal urethrotomy. Subsequently
referred to A. C. C. Disp. for treatment. Developed acute appendicitis
and operation for removal after development of abscess. Abscess
drained and healing of abdominal incision imperfect leaving hernial
protrusion internally and near superior angle of scar. Injected with
seventy minims of paraffin, 115 melting point, on Aug. 2, 1906. No
pain following injection, no discoloration, and no recurrence over a
year and a half after operation.
CONCLUSION.
These cases represent the ten first which were seen subsequent to
injection. Cases which were injected and which did not return
subsequent to injection have not been included as they would be of no
value in estimating as to the usefulness of this method. In no
instance has an ill consequence been suffered which would cause the
patient to seek surgical aid elsewhere, or at least no case has come
to the knowledge of the author directly or indirectly.