= ERTS. 
Sac is mortified —Some- 
the inteftine is found to 
times cut off portions of it without tying, and never had times, on opening the hernial fac, 
trouble from it of any kind, though I have always made the be in a gangrenous ftate, although the occurrence could not 
excifion in the found part ; and that, from the fuecefs which be previoufly known, owing to the integuments and the 
has attended it, I fhall always continue to o whenever hernial fac itfelf not being Hreéted with the fame mifchief. 
co 
that experienced furgeon Mr. Hey, o 
He informs us, that he has twice,. and me twice, cut off a 
ound part, in the 
loofe enough to be withdrawn altogether. 
In the operation for a ftrangulated hernia, it has been pro- 
i wound unreduced, after 
; gi arifes afource of danger. 
rme i 
the funGions of the ftomach 
e ff “eeorgge re- 
ours. 
e. 
However, though when the patient furvives the mortifi- 
cation of an inteltinal hernia, he commonly obtains the 
bleffings of life only combined with the loathfome affliction 
of an artificial anus ; yet things fometimes take a ftill more — 
profperous courfe ; the feces gradually refume their for ne 
route te the rectum, and, in proportion as the artificial anus 
y> it i Many inftances of this 
fort have fallen under our obfervation in St. Bartholomew's 
of hernia than in others. 
s apart of the diameter of the gut, 
feces are fometimes only partially difcharged through the 
i This: quantity leflens as the wound 
I Louis ; Mém. 
ji.) -A fmall 
manner. 
n ahernial fac, has happened fe- 
without much difturbing the ufual courte of 
> anus, and the 
covered. Med. Obfvand Inq. vol. iii. p. 162, & , 
which the eftablithment of the con- 
of the contents of the 
ritoneum becomes in gexeral 
the inteftine has not already 
5 ee and bed thighs bent. (See Gun ee 
: erniis.. Mémoires de 1’ Acad. de Chirurgie, tom. 1 urit, 
sibs y of Fach aftigting confe- the mortifie o let out the feces, and very mild purga- 
ny difeaf porti ves and glyfters adminitt oA 
£ the omentum in the abdo- It is an obfervation of Mr. Aftley Cooper’s, that 
to its regaining that the degree of danger atteaing: an artificial anus, de- 
the ftomach and icinity of the fphacelated part of the inteftinal 
canal Stomach. ‘Thus, if the opening be in the je) 
removing @ difeafed 
abdominal ca- 
he bleeding vellels, “> 
* 
{pots ; ° 
trnded bowel. In the fir 
aug! 
