‘ 
. 
b 
inftantly thifted by the wearer, fo as readily to admit of 
‘made to go round either that, or the « 
‘in either cafe, effectually apply and perform their operation complete, becaufe a confiderable portion of the her 
swhich may be added, fo as to increafe the power of the trufs the belly. In é cooper: Oe a 
oe Seek . Thefe {prings are fimply introduced into prea seeds bcosal facs, which have bee” a 
: HERNIA. 
rendered impervious. Alfo, when the trufs is either not ‘a loofe leather, or other cafe ; and the taking them out; or 
made, or not well put on, the vifcera may flip under replacing them, can be inftantly performed. By this mode 
the infrument, in confequence of various circumftances, of cafing, fays Mr. Salmon, the wearer may have clean 
fuch as falls, leaping, any great exertion, a flipping of cafes as often as he choofes, and the fprings may be ex- 
the trufs, &c. Hence it i Bia all patients, even thofe changed without the mountings at no lois. The having of 
who are provided with truffes of the beft conftru€icn, to different fprings will be advantageous, in affording the 
‘be circumfpeét, and immediately they perceive that fome- wearer an opportunity of gradually reducing the force of 
It is in particular neceflary to watch the effect of a trufs dire¢tions ; fo that whatever be the fhape or inclination of 
for fome time after the patient has begun to wear it. the bedy, it adjuits itfelf to fuch inclination, not being con- 
During the firft few days, there will almoft always be found fined in its direction by any power of the {pring. 
fomething to improve and reétify, until the patient becomes cufhions are fimple cafes, ftuffed with the foftett materials, 
habituated to the trufs, and the trufs, as it were, to him. which may be taken out and replaced at pleafure. 
hen the patient is fat, the trufs makes a depreffion in the | The force of the fpring is greateft on the lower edge, 
fin after a few days, and then no longer fits with the and, confequently, is transferred to the lower edge o 
i: : 
the covering is ftuffed, becomes preffed more clofely toge- any exertion diftends the lower part of the belly, in- 
ther, and therefore care fhould be taken to put onatrufs ftead of throwing the cufhion off altogether, it only turns 
at firft with particular tightnefs. out the upper edge while the lower one is more forcibly dirett- 
A trufs muft not make uneafy preffure upon the buttocks. ed againft the hernial opening. This will particularly happen 
‘When the thigh-ftrap which goes over the buttock is nar- when a perfon fits down, and inclines very orward. The _ 
row, the trufs is apt to be dragged downward by the weight belly then projeéts and thrufts out the upper part of the 
I 
of this part of the body. The thigh-ftrap fhould therefore cufhion, but the force on the lower part is not thereby de- 
be broad, and the patient ie, to wear braces. Let a creafed, but may be proved to be abfolutely increafed, inat- 
trufs fit ever fo well and fecurely, the patient — to fhun much as leffening the furface of any bodies in forcible con- 
all violent motion, concuffions, and exertions of the body. taét with others increafes the violence of the contact. 
3 
2 
5 
fe") 
° 
oo 
“§ 
ae) 
oO 
= 
: 
=e 
og 
be) 
=| 
= 
3 
° 
oO 
=} 
ot 
3 
e. 
8 
co 
rs) 
f=) 
Ou 
5 
= 
id 
ot 
oO 
4 
© 
yy 
i=] 
oO 
_ 
= 
6 
cS) 
ao 
° 
4 
i] 
There are two defcriptions of cafes where a trufs cannot hip without moving the cufhion. The covers of both cufhions 
be worn. The firft is, when the hernia cannot ‘be com- maybe readily changed, and clean ones had at a trifling ex 
pletely, or at all red d is when the tefticle, pence. 
duced, The fecon re 
‘or fpermatic cord, is fo difeafed as to be incapable of allow- | Though Mr. Salmon mentions the poffibility of plact 
‘ing the preffure of a trufs. 
placing 
; ; : the fpring above the hip, we prefume he does not mean to 
The firft example is a cafe which will be confideredin the recommend the plan. ‘I'he proper fituation for the fprin, 
enfuing fection of this article. In the fecond, the firft indi- is always juft under the fpine of the os ilium, where Its leal 
oe fe 
cation 18 to cure, if poffible, the affection of the teiticle or fubjeé to difturbance from the aétion of the mulcics. 
with fuitable excavation, might {till be wo 
We have a favourable opinion of Mr. Salmon’s 
fpermatic cord. Perhaps, however, a trufs having a pad _ FF; a ftrap to be ufed, ifneceflary, for preventing 4 fo 
be worn, This {trap bran 
ri 
ches out from 
regulated nearer or 
reprefentation of which will be given in the furgical : ; ; : ’s cufhions are ftuffed 
{t is there exhibited with the additional fprings, the with foft materials, fo as not to be likely to injure the parts 
. together being equal to nine pounds prefled upon. See A Mechanical Analyfis of the General 
A, a fpring made fo as to exert a pofitive force on the Conftruétion of Truffles, &c., by R. Salmon, 1807+ 
— at each end. At the front and back ends are In cafes of inguinal hernia, the preflure of the pads of 
‘the twift, which many common truffles have. 
y; and where one fid ly y 33 from 
the oppofite fide, and will, it upon the os pubis. In this cafe the cure mutt ke 
without other aid. : . Fe: nen, and 13 HEN” 
__B, C, the additional fprings detached, either or both of between the abdominal ring and the opening of hae a 
to 
