HEEN14. 



391 



Ficf. 383.— Strangulated Inguinal Hernia 

 A, intestinal circumvolution. B, herniated portion of the intestine. D D, neck of 

 the vaginal sac compressing the intestines. E, internal wall o£ the vaginal sac. T, tes- 

 ticle in the fundus of the vaginal sac. 



sac has resulted in an adhesion with the internal surface, and the 

 hernia has taken its place in the class of the irreducible. Hernias 

 of long standing, which have, at intervals, shown indications of 

 obstructions, are, in the greater number of instances, in fact, ir- 

 reducible 



There are still, however, cases of simpler condition in which 

 the viscera continue to be movable in the sac, in which fact they 

 are due to the lubricating effect of a free serous exudation. 



