Boston Medical and Surgical Journal
acute and chronic bronchitis, aortic constriction, phlebitis, gastric ulcer, diseased bladder, intestinal disorders of various kinds, and internal strangulation, Patients such as these were one would not wound for any trivial good ; but, with a strangulated hernia, the peril of doing the operation can hardly ever be so great as the evil of leaving it undone. Old age and feebleness, fatness, intemperance, or unsoundness of whatever kind, may add to the risks of this, as of any other operation ;
... other operation ; but all these risks must be accepted. A patient must not be allowed to die with a strangulated hernia, if by any means whatever the strangulation can be relieved ; and you must not be averted from the operation by any consideration of the number of deaths that follow it. The deaths after the operation may be 50 per cent.; but the deaths due to the operation are not more than 2 or 3 per cent., and even these would probably have been deaths from the hernia if the operation had not been performed. The great proportion of deaths is made up of those in whom the strangulation has done mischief which the operation cannot remedy. It is not unfair to maintan that, speaking generally, the deaths after operations for hernia are only to bo counted as failures to save life, while the recoveries are to bo counted as lives saved from certainly impending death.-Brit. Med. Jour.