bythe preffure of a trufs oppofite the abdominal ring, but 
are nd ¢ fide 
common truffes, Mr. Aitley 
prefs the 
t which we 
it, the hernia 
e other round the-pelvis, mid 
When the hips make an unufual projection, a piece of wire 
mutt be ufed. 
In large herniz, Mr. Aftley Cooper allows, that the pad 
of a trufsought to be placed nearer the abdominal ring than 
infmall ruptures. He obferves, that where the protrufion 
' may be fixed reheat the fym- 
m 
In order to enable patients to bathe with a trufs on 
them, Mr. Aftley 
Cooper. recommends covering the 
Pring with oil-fkin, which will keep it from becoming 
When the month of es hernial fac has been obliterated, _ 
another fac has been protruded clofe by the fide of the other. : 
A colle&ion of water has alfo been known to occur, 1D 
<a 
fac, after the clofure of its neck, forming a particular 
Hernia,. : 
fort of hydrocele. See Cooper on Inguinal 
chap. v. = | e 7 
| Of irreducible Hernie —Under this head furgical writers 
omprehend all cafes in which the protruded vifcera cannot 
rangulated. - This inca- 
to feveral 
dhéfions which 
each other, or with their contain- 
ometimes the reduStion is prevented by membra 
' 
se bands, which extend acrofsthe fac and entangle its con-- 
ntery are very apt to become en- 
quence of hang rohee ina 
makes it impoflible to Feens 
-fage, an 
- which fills the ferotum, See 
y of circumilances ; . 0 
but, moft frequently, arifes either from the largenefs of the 
eration made in_ their fe 
' 1 , ae 
EP gate ‘politer fhould 
tentive to the Ons 
“donot by any irregularity. 
HERNIA’ 
belly a ve The omentum, from being naturally thin and’ 
oit 
what is called the neck of the fac is, by conftant prefitre, 
formed. into a hard i A 
rendering it 
iinpoffible to puth up the loofe part 
ott on Ruptures. 
Befides this fort of change, we have often feen the lower 
art of the omentum hardened and expanded into a large 
Cie, which enlarged portion was connected with the found 
part within the abdomen by a comparatively flender conti. 
ituation expofes them to the effe 
of external violence, by which the bowels have been known 
Another danger is” 
ointed body is 
{wallowed, and follows the courfe of the food; for 
when it reaches the hernia, i 3 been known to make 
its way 
s 
feces. 
“An irreducible hernia, when sig pit may acquire an 
other inconveniences. - 
N | fac,‘and the 
{welling reach to the knees. Large quantities of fluid may 
cecum i 6 bring on fe- 
rious complaints, and even'a burfting of the tumour. . The 
{welling may 
ferotum itfelf, and be kept fiftulous by the conftant diften- 
tion of the part. The urine fometi 
fwelling, and ex¢oriates it. Sée Cooper on Inguinal Het- 
rfons with irreducible ruptures have been 
hibmit to have the tumour opened, and the 
d by fuch ‘operation, yet the attempt has fre- 
0 0 
ufpenfory bag, to teke 
fen the incorivenience arifing from the weight of 
4 Seat 
frequently me reafon ; alofs of fkin in 
part, and io fach circumfances, being fometimes of the ut- 
moft importance. bie tr te to be as 
«ty the office of the inteftinal canal, to fee that the 
5 any irregularity of diet diforder : 
