HERNIA 



562 



HERNIA 



Kronlein. See H. , Inguino-properitoneal. H., 

 Labial, a protrusion of the bowel between the vagina 

 and the ramus of the ischium into a labium majus. 

 H. of Laugier, a femoral hernia through Gimbernat's 

 ligament. See, also, Diseases, Table of. H. of 

 Littre, a hernia of the bowel in which only a portion 

 of the lumen is constricted in the hernial orifice. 

 There is not, therefore, complete obstruction. H. of 

 the Liver. See Hepatocele. H., Lumbar, a pro- 



at which the fascia is deficient. H., Obstructed. 

 See //., Incarcerated. H., Obturator, a protrusion 

 of bowel through the obturator foramen. H., Omental, 

 a hernia containing omentum. This condition is also 

 called Epiplocele, q. v. H. of Ovary, a hernia 

 including ovary, wholly or in part. H., Para- 

 inguinal. Same as //., Preperitoneal. H. of 

 Partridge, a femoral hernia, external to the femoral 

 vessels. See, also, Diseases, Table of. H., Pectineal- 



The pillars open, the cord held up. 



The pillars sutured, The deep fascia 

 the cord held up. closed over 



the cord. 



An Unstrangulated 

 Hernia. 



Radical Operation for Inguinal Hernia. (After Bassini.) 



A Strangulated Hernia. 



Femoral Hernia. 



trusion of the intestine through Petit' s triangle — a 

 space bounded by the external oblique and latissimus 

 dorsi muscles and the crest of the ilium. H. of the 

 Lung. See Pneumocele. H., Malgaigne's. Same 

 as//., Congenital. H., Mesenteric (of Cooper) ; the 

 passage of a portion of gut through an opening in the 

 mesentery. H. of Muscles ; occasionally, owing to 

 imperfect healing of the deep fascia after wounds, a 

 limited protrusion of the muscle occurs at the point 



Oblique Inguinal Hernia. Direct Inguinal Hernia. 



Bubonocele on right side, but passing through 

 external ring on left. 



crural, or H. of Cloquet, a variety in which, after pass- 

 ing the femoral ring, the hernia turns within and behind 

 the femoral vessels, resting on the pectineus muscle. 

 H., Perineal, a protrusion of the abdominal contents 

 between the fibers of the levator ani muscle, in front 

 of or to one side of the anus. H., Petit's. Same 

 as //., Lumbar. H., Pharyngeal. See Pharym 

 gocele. H., Phrenic. Same as H. , Diaphragmaak 

 H., Pleural. See Pleurocele. H., Preperitoneal, 

 a hernia occupying a position between the planes of 

 the abdominal wall, in front of the parietal peritoneum. 

 H., Pudendal. Same as //. , Labial. H., Reducible, 

 one that may be returned or reduced by manipulation. 

 H., Retroperitoneal ; in this form of hernia the 

 small intestine lodges in the fossa duodeno-jejunalii. 

 H., Sciatic. Same as //. , hchiatic. H., Scrotal, 

 that form of inguinal hernia in which the protrusion 

 has entered the scrotum. H. of the Spleen. See 

 Splenocele. H. of the Stomach. Same as Gastrocdf. 

 H., Strangulated; a hernia is said to be strangulated 

 when it is so tightly constricted at its neck as to intef 

 fere with its return, with the circulation of blood, and 

 the passage of feces. H., Synovial. See //. . /''" 

 ketfs. H. of Testis, a protrusion of the seminiferoDI 



