The Project Gutenberg EBook of The Cure of Rupture by Paraffin Injections, by Charles C. Miller This eBook is for the use of anyone anywhere in the United States and most other parts of the world at no cost and with almost no restrictions whatsoever. You may copy it, give it away or re-use it under the terms of the Project Gutenberg License included with this eBook or online at www.gutenberg.org. If you are not located in the United States, you'll have to check the laws of the country where you are located before using this ebook. Title: The Cure of Rupture by Paraffin Injections Author: Charles C. Miller Release Date: August 9, 2015 [EBook #49662] Language: English *** START OF THIS PROJECT GUTENBERG EBOOK CURE OF RUPTURE *** Produced by Carol Brown and the Online Distributed Proofreading Team at http://www.pgdp.net (This file was produced from images generously made available by The Internet Archive) The Cure of Rupture BY Paraffin Injections BY CHARLES C. MILLER, M. D. _Comprising a description of a method of treatment destined to occupy an important place as a cure for rupture owing to the extreme simplicity of the technic and its advantages from an economic standpoint_ CHICAGO Oak Printing Co., 9 Wendell St. 1908 Copyright 1908 By Charles C. Miller FOREWORD. In taking up the description of the injection of paraffin for the cure of hernia a number of remarks of a prefatory nature are called for, as it is necessary to justify a treatment which has come in for a considerable censure from surgeons who have had no experience with the method and who have judged solely from a few mishaps which came to their attention and which in no way permit of an accurate estimate of the treatment. Paraffin injections have been in use only a few years. When first introduced their value for the closing of hernial openings was mentioned. At the time the factors which made injections valuable for such treatment were not appreciated. Paraffin was merely looked upon as an agent which might be used to plug a hernial opening and such plugging of a hernial opening is impracticable without histologic changes in the tissues to cause permanent closure of the hernial passage. The need which Paraffin fulfills in Hernia. Paraffin has a tendency to promote the formation of connective tissue and in hernial cases there is invariably a state of the parts which will be benefitted by the throwing out of connective tissue in the neighborhood of the deficiency which gives passage to the hernial contents. Besides this production of connective tissue, the occlusion of the hernial sac and glueing together of the walls of the hernial canal, the plugging and supportive action of a material like paraffin is likely to be in a measure useful as the paraffin does not lie in the tissues as a single mass, but it is traversed by trabeculae of connective tissue. OPERATION WITHOUT ANESTHESIA A GREAT ADVANTAGE. Injections of paraffin are accomplished with such ease without anesthesia that the mere fact that a hernia is curable without the taking of an anesthetic is an advantage on the part of the paraffin method which will be highly appreciated by a very large percentage of patients suffering from rupture. It is safe to say that for every patient suffering from rupture who is willing to submit to the cutting operation four or five patients will be met who are afraid to submit to such operation because a general anesthetic is to be taken. Applicable in the Physician's Office. Paraffin injections may be made in the physician's office and there is no condition produced which renders it difficult for the patient after injection to go to his home, if he must not travel more than a moderate distance. The reaction may be such as to make it advisable for the patient to remain quiet for a week or even two weeks, though this is exceptional, yet such avoidance of exertion is not looked upon in the same light by patients as two weeks strict confinement to bed. The probability of escaping confinement is a great incentive to a patient to submit to an injection, when he would refuse operation. Injections are not necessarily unphysiologic as the sufferer from a hernia has a physiologic deficiency which the paraffin accurately fills with normal connective tissue. The dangers of injection can be eliminated. The technic is not difficult even when all precautions are taken. There is less likelihood of suppuration following the injection treatment than following the cutting operation. The consequences of suppuration are less. If suppuration occur after the open operation failure is likely, not to mention the danger of peritonitis. Such is not the case following injection, and while consequences are less serious suppuration is avoided much more readily than following the open operation. Only the operator thoroughly acquainted with the manner of disposition of paraffin should attempt the injection of hernia. Simplicity. To the skilled operator the injection treatment is exceedingly simple and the injection method must always be far more simple than the open operation can ever become. A hernia can be injected without haste in from two to four minutes. An assistant is of no use. The open operation cannot be performed without the aid of several trained assistants, and without elaborate and expensive preparations, it is not feasable as anything but a hospital operation. Hospital surgeons may be expected to condemn the injection treatment of hernia, as it will open to thousands of the profession a field which has hitherto been monopolized by the surgeons with hospital facilities. Experimental injections before human injections. Before injecting a hernia the operator should be thoroughly