396 The Management and Diseases of the Dog. 
long as in the other, but the hernial sac was considerably 
thicker, and more numerous in its layers. On the 25th, 
exactly a fortnight afterwards, the last stitch was removed, 
and on the 10th of September the bitch was perfectly well, 
in good condition, and in excellent spirits. 
The diet was the same as that prescribed after the first 
operation. Probably it would have been considered more 
scientific had I pared the edges of the ruptured peri- 
toneum; but I preferred—as I do in similar cases in other 
animals—trusting to lymph effusion, and its subsequent 
organization, rather than incurring the risk of producing 
general and acute peritonitis, which paring an old ruptured 
peritoneum would tend to do. 
It is perhaps scarcely necessary to point to the obvious 
cause of this double rupture; viz. that the peritoneum 
was broken in the act of tearing away the other dog, while 
the man’s foot across the bitch’s abdomen held her firmly 
down ; acruel, but I trust an unintentional, procedure. 
Since the above record, many cases of ventral hernia 
have come under my notice. , 
DOUBLE FEMORAL HERNIA. 
Last autumn, 1887, I was requested to attend a bitch 
in London, stated to have been ruptured on both sides, 
and with an inverted womb, She had previously at 
various times been under my treatment for bronchial 
asthma. Besides being asthmatical, she was aged and 
very obese. On my arrival, | found a large femoral 
hernia close to the groin on either side; but no uterine 
inversion, A vaginal prolapse had probably been 
observed when straining, and mistaken for the womb. 
The abdomen, being very large and its walls thin at the 
seat of rupture, had most likely given way, in a violent 
paroxysm of coughing. 
