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Xfl. Report of Surgical Cases in Uie Clly Dispensarr/y 

 Grqcers- Hall-Court , Poultry, from the 1st of October to 

 the 3\ St of December 1806: nitk Observations on a Case 

 of umbilical Hernia, of mavy Years standirig, in which the 

 Operation was performed, and attended luith tlie most 

 complete Success: and also Remarks on some Cases in 

 which the mercurial Salivation has taken place, on the 

 Exhibition of small Doses of Calomel. 



Jl ATiEXTS admitted 2 19. 



219 



Mrs. A. B., iet. 62, has had an urnbilical hernia for thirty 

 years, which has been attended wiih much pain and incon- 

 venience, froni its size and irreducible state, during the 

 greatest part of the above period, as the contents of the her- 

 nial sac have not been returned completely into the cavily 

 of the abdomen for twenty years ; but the size of the tumour 

 has always increased considerably after standing or walking, 

 from which she suffered much. 



Dec. 6, 1 806, Mr. Skinner was called to vi^it the above 

 patient, and found her in great pain about the umbilical re- 

 gion, arising from inflammation of the contents of the her- 

 nial sac and parictcs of the abdonicn. She had not had any 

 evacuation by stool for some davs ; was continually sick, and 

 vomited every thing from the stomach as soon as it wa? 

 taken. 



V^enaasectio ad 3 viii. 



B. Extr. colocynth. cum calom. 



Anodyne fomentations were applied to the umbilical re- 

 gion, and an enema was administered immediately. 



Dec. 7. No mitigation of symptoms : the enema was re- 

 turned, withput any feculent matter ; and the vomiting con- 

 tinued as before. Six leeches wc/e applied to the tumour ; 



the 



