HERNIA. 
ver neglecting to wear a trafs. © By this a conflant preflure 
is to be applied to the part, where the hernia opens into the 
abdomen, fo as to fhut the mouth of the fac, and thus make 
an effectual refiftance to the protrufion of its contents. 
erniz, which are capable of eafy and immediate reduce - 
tion, and are not attended by any troublefome, or bad 
en met with both in infants and adults. 
r,”’ fays 
‘This is, in great meafure, owing to a common opinion, 
that a young infant cannot wear a fteel trufs: a generally pre- 
vailing error, and which ought to be corrected. i 
noage at which fuch trufs may not be worn, or ought not 
oO 
_ 
an 
pen of the 
uch cure mu 
every new defcent rendering a cure both 
more uncertain. 
As foon as the parte are returned, the trufs fhould be 
immediately put on, and worn without remiffion, care being 
taken, efpecially if the patient be an infant, to keep the 
parts on which it preffes conftantly wafhed, to prevent 
belly being open, the quantity ef 
; Hieriys keto increafed, and when 
down ta be bound by a itri€ture. An inflammation of that 
or fuch obftraction fe : 
ace fuc 
j 
#8 may diftend and enlarge it, may at all times produce 
Complaints as may put the life of the patient into immiment 
itauding this kind of hernia 
danger ; and therefore, notwith 
jt will fometimes flip down : when 
and 
him fo intolerably 
may have been borne for agreat length of time, wit 
having proved either ms Mi or ome yet as ee 
always poflible to become fo, and that very fuddenly, it can 
never be prudent or fafe to negle& it. 
“ Even though the rupture fhould be of the omental kind, 
which confidered abftractedly is not fubject to that degree 
or kind of danger to which the inteftinal 1s liable) yet it may 
be fecondarily, or by accident, the caufe of all the fame 
mifchief; for while it keeps the mouth of the hernial fac open, 
it renders the defcent of a piece of inteftine always poffible, 
and confequently always likely to produce the mifchief which 
may proceed from thence. 
“They who labour under a hernia thus circumftanced, 
that is, whofe ruptures have been generally down while they 
ave been in an ere€t potture, and which have either gone up 
of themfelves, or have been eafily put up in a fupine one, 
fhould be particularly careful to have their trufs well made, 
and properly fitted ; for the mouth of the fac, and the opening 
of the tendon being both large and lax, and the parts havin 
been ufed to defcend through them, if the pad of the seule 
be not placed right, and there be nota due degree of elaili- 
city in the ie a piece of inteftine will, in fome pofture, 
flip down behind it, and render the trufs ptodudtive of that 
very kind of mifchief which it ought to prevent. 
“ Itis fearcely credible how very {mall ano ll 
ferve for a portion of gut or caul to infinuate themfelves into 
at fome times. Now, though in perfons of mature age it 
Ag. 3 . ia Pee te ae ¢ 
+ 
iC MOUL 
of the hernial fac, as abfolutely to clofe it, yet by the sont 
{tant ufe of a well-made trufs, it may ned, as to’ 
banda worn fome 
ame a cbanti which renders the defcent of the gut lefs ealy, 
will alfo make the rednétion more difficult, if a piece 
fhould happen to get down; and hence alfo we may learn 
why the bandage fhould be ae and unremittingly worn by 
all thofe whofe time of life makes the expeétations of a per- 
e& cure reafonable, many of the ruptures being 
ts 
{choul 
owing to the negligent. manner in which children at 
are fuffered to wear their truffles. 
« T know a gentleman who has for fome 
omental rupture, which was negleéted while 
and 
ears had ag 
was young, 
he having naturally a lax habit, and the abdominal 
ypening being much dilated, he finds it extremely difficult to 
p it up, even with the belt trufs he can get, behind which 
this happens, it gives him - 
immediate and acute pain at his ftomach, and makes 
fick, that he is obliged immediately to 
imfelf on his back, and procure the return of the piece 
of omentum,’’ See Pott on Ruptures. 
iach 
fio 
Ts for the manner in which 
our information, concern. 
o more 
rac $ in 
f Ry vais i beabesiane ft this part of his - 
-ritir ci ies infome anatomical points, whic}, 
cy oe ree rendered more correét by the united 
obfervations of Gimbernat, Mr. Hey, Mr, Aliley Cooper, 
4U Bir” 
Pott’s account. 
and Mr. Lawrence 
