HERNIA. 
the Contents are entirely omentum, the furgeon may venture 
to ufe more force in his attempts at reduction than could be 
prudently. exerted, were the cafe an enterocele. See Cooper 
on Inguinal Hernia, &c. p. 24 
* It is difficult to lay down 
P i: é 
be cautious of doing much. ( 
g Pra&t. Obf. 
edit. i. p.13rs) Mr. 
Lawrence thinks, that “ when the 
appear to have made any formidable change in the tumour, or 
ah Seo. a 
frequently fucceed 
et f ae 
: When the taxis fails at firft, it will 
warm bath. 
the patient has been bled, or p 
after 
debility, and do much mifchief.”” » (Obf. on Hernia, p. 39.) 
He alio entertains an opinion, that bleeding ‘“ is extremely 
unfavourable tothe patient’s recovery,’’ when the operation 
cannot be avoided. 
Mr. Wilmer has been feconded by Mr. Alanfon, on the 
inutility of bleeding in cafes of flrangulated hernia. The 
latter inf , that bleeding ad deliquium had been the con~ 
fant practice at Liverpool, and that, “ as foon as the deli- 
quium happened, the taxis was tried during that {tage 5 but 
1 never faw this- method fuccefsful, nor do 1 think bleeding 
ever of the f{malleft fervice in forwarding reduction,’” 
ie Mi Aftley Cooper confeffes, that though bleeding and 
the warm bath appear likely to produce a ftate of body 
highly favourable for reduction, he has feldom been grati- 
fied by feeing a hernia reduced by them, though they were 
mott fairly tried. 
The principle upon which bleeding has been fuppofed to 
be ufeful in the cafe of a ftrangulated hernia, is by occafion- 
ing a general languor, and a confequent relaxation of the 
ftriture, and by checking the inflammation, not only of 
the protruded partsy but of thofe which lie within the abdo- 
m sa fwoon has been confidered a very aufpicious 
moment for reducing the hernia, it has been ufual to endea- _ 
your to make the patient faint by bleeding him.as he 
up, and making a large opening in the vein, in order that the 
evacuation may be very fudden. mr cae 
There can be little doubt that the reprefentations of this 
fubject, given by Mr. Wilmer and Mr. Alanfon, ‘have arifen 
oO 
| 
from the blindeft prejudices. 
may have been exaggerated 5 
and caft our eyes on the 
we ae ‘alabl 
which we fhall | fo carta OM cleats ous 
bag prefently confider. - he inf 
| Bleeding —When the firft attempts to reditce the hernia the-inBammation. within 
ae Giual, many rabgabut ate advocates for immedi. abdomen has hada beaevale-teare sa Sen eue Tt pa- 
oe bleeding the patient, and then trying the taxis again. - pee sae tiated Gol fen 
Mr. Pott was ftrenuou y in favour of venefe€tion in thefe xt sh . 
estes.“ Perha, 
fhe hutian body i 
which Lar ech, Se 
ffary.”? (Pott’s Chiru 
n Bell, Callifen, R 
>, “ there is no difeafe affeGting 
immedi- 
pecter thelr eateste s Siok 
- We entirely agree with Sir. Lawrence 
_ and opponent eno blood-letting ftated their 
. ‘on a” : : 
wrence, that the advocates 
