VOL. XXXlx] PHILOSOPHICAL TRANSACTIONS. SQ 



This text may very well be divided into three parts: an introduction, con- 

 taining the method of infinite series; the method of fluxions and fluents; and 

 lastly, the application of both to the most considerable problems of the higher 

 geometry. The comment consists of very valuable and curious annotations, 

 illustrations, and supplements, in order to make the whole a complete institu- 

 tion for the use of learners. 



Of an Inguinal Rupture, with a Pin in the Appendix Cceci, incrusted with Stone; 

 and some Observations on fVounds in the Guts, By Claudius jimyand, Esq. 

 F. R. S. N° 443, p. 329. 



Oct. 8, 1735, Hanvil Anderson, a boy 11 years of age, was admitted into 

 St. George's Hospital, for the cure of a hernia scrotalis, which he had from his 

 infancy, and a fistula between the scrotum and thigh terminating into it, which 

 for a month before had discharged a great quantity of an unkindly matter. 

 The rupture was small, and not troublesome, and part of it could be replaced; 

 but as it appeared that the sinuous ulcer sprung from that part that could not, it 

 was evident that the cure of the fistula depended on the cure of the hernia, 

 which latter could be obtained by no other operation than that for the bubono- 

 cele, which was agreed to, and performed the 6th of December following. 



This operation proved the most complicated and perplexing Mr. A. ever met 

 with, many unsuspected oddities and events concurring to make it as intricate 

 as it proved laborious and difficult. 



This tumour, principally composed of the omentum, was about the size of 

 a small pippin ; in it was found the appendix coeci perforated by a pin incrusted 

 with stone towards the head, the point of. which having perforated that gut, 

 gave way to a discharge of faeces through the fistulous opening in it, as the 

 portion of the pin obturating the aperture in it shifted its situation. The ab- 

 scess formed in the hernial bag occasionally, and the suppuration for 2 months 

 last past from this place.outwardly, had knit and confounded, and, as it were, 

 embodied together the gut and omentum with the hernial bag, and these with 

 the spermatic vessels and the testicle; so that it was as difficult to distinguish 

 them from each other, as it was to separate them without wounding them ; 

 this pin, whose point was fixed in the omentum, continually shifting its situa- 

 tion, and occasioning a discharge of fseces. The pin frequently lying in the 

 way of the knife, and starting out of the wounded gut, as a shot out of a gun, 

 the inundation of faeces on this occasion, from a gut which could not well be 

 distinguished, were so many difficulties in the way; but the greatest yet was, 

 what to do with the gut, which all this while was unknown, and could not be 



TOL. vin. N 



