Word: hernia
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...incisional hernia such as the one from which President Johnson is now suffering is a rupture (Latin: hernia) or break in the muscular abdominal wallIn the President's case, the break came about an inch to the right of the scar where the surgeons cut last year to remove his gall bladder. It is at the point where plastic drain tubes were left in place for four days after that operation. Such hernias are by no means rare but no one knows exactly how common they...
Delicate Dissection. One surgery textbook argues that "the pathologic anatomy of incisional hernia is a story of surgical failure." But that is not a reflection on the surgeon, rather it is a reflection on the patient's anatomy. An unathletic man like the President is likely to have relatively weak belly muscles, and L.B.J.'s have been further weakened by his weight gain of almost 20 Ibs. in the past year. The intestines and other internal organs, exerting pressure against the muscle wall, found a weak spot at the drain site and forced an opening. A piece...
There is little risk that a hernia at this site will become strangulated, but the President did suffer discomfort from clothing rubbing against the tender, stretched skin that might have become ulcerated. Though the operation to push the protruding gut back and close the rupture securely is not dangerous, it demands exquisitely delicate dissection and needlework because the muscle fibers are layered and crisscrossed like the Warp and woof of a carpet...
Died. Amedee Ozenfant, 80, French painter and art theorist who, along with Le Corbusier, issued a 1918 manifesto in Paris denouncing cubism, as then practiced, for being too preoccupied with geometry, instead urged artists to return to the real world, a concept he called "purism"; of a strangulated hernia; in Cannes...
Grey, Then Blue. Nor did Dr. Trimmer mention ether the next morning, when he and Anesthesiologist Lloyd Goodwin were preparing Michael Ketchum, 12, for a hernia operation. Dr. Goodwin injected fluid from the same Surital bottle/and there was the same instant reaction of spasms and coughing. The boy complained that the injection burned, but Dr. Goodwin gave more of the same fluid, and the coughing ceased. The operation went smoothly, and the boy seemed to be doing well...