- t 356 ] 



LV '.V Report of Sti7-gicfr ' Cases in the Fhislury Dispensary, 

 from the Beginning of Nov. 1806 to the Eiid of Jan. I807, 

 wit>- Ohscrvutiom on a Case of Hernia, attended with pe^ 

 adiar Si/mptom<:, in which the Operation teas performed 

 witiL Success. By John Taunton. 



X:\ tin last Surgical Report from this Institution (see Philo- 

 sop'i'cal Magazine, vol. xxvi. no. 103.), there were 152 pa- 

 tients under cure ; during the succeeding three months 273 

 persons were admitied : — 



Cured -------- sofi 



Relieved ------- 26 



Under cure ------ 5 



397 



J. L. setat. 46, by trade an ivory-turner, naturally of a de- 

 licate constitution, has been a lono" time subject to an 

 asthmatic cou";h, and has also laboured under inguinal her- 

 nia in both f>Toins for many years. On visiting him on 

 Tuesday afternoon, Nov. 4th, I learnt the following parti- 

 cuLirs : pn Friday Oct. 31, the hernia on the right side came 

 down and could not be returned ; the pain was considerable 

 and continued, though he had an evacuation by stool on 

 Saturday ; the pain was much increased on Sunday, at- 

 tended with hiccup, sickness, and vomiting ; the symptoms 

 being more urgent on Monday, he v.-as visited by a physi- 

 cian, who ordered a purging mixture, with tincture of opium, 

 to be taken, and fomentations to be applied to the abdomen ; 

 the mixture was rejected bv the stomach as soon as taken, 

 and the fomentation did not afibrd the least relief; an 

 enema was injected and retained m the evening, but without 

 producing any effect. 



The symptoms were now become very i/rgent, a distress- 

 ing /i/cc?//;, and almost constant vomiting of feculent mat- 

 ter ; the stomach rejects every thing as soon as taken ; pulse 

 1 10, weak and thready, or rather vibrating; the tongue co- 

 vered with a brown fur^ a dejected countenance, and the 



pain 



