HERNIA. 
yound the fpermatic cord and hernial fac.» ‘This mode of at- with great fuccefs, as deferibed by Sermecius; with this 
tempting a radical cure of the inguinal hernia was bar- difference only, that he perforated the faecus with a needle 
baroufly fevere, and what is worfe, was not a real prefervative and thread before he tied it up. vis is a very ufeful and 
againit a relapfe of the diforder. Befides, it put the patient neceflary caution to prevent the ligature’s flipping.” (See 
to a great deal of agony, and frequently endangered his Heifter’s Syftem of Surgery, part 2. chap.119.) The 
life. : moft fimple and fafe method of attempting this operation 
_ Another execrable method was prattifed as follows: the would undoubtedly be, after reducing the bowels, to make 
vifcera were reduced, and retained in the abdomen by the an incifion about two inthes long, through the fkin over the 
feparated, if the fac was not fufficiently expofed, the cauftic and ligature through it, immediately in front of the fpermatic 
cor i 
cicatrix was fuppofed to be capable of oppofing the future is done to an artery. One fhou'd not expect, a prioriy that 
defcent of the abdominal vifcera. The perils of fuch pro- fo {mall cutas is requifite, and tying a part of fuch little 
ceedings have been well depicted by. M. Bordenave. Of im: ortance in the animal economy as a hernial fac, would be 
three patients, who were made the fubjects of experiment at likely to be frequently followed by dangerous fymptoms. 
one died, one fuffered a relapfe, We find it afferted that fuccefs has often attended the me- 
{welling of the fpermatic cord. thod, nor, until experience proclaims the contrary, can we 
Perforation of the inteftine, and a fatal gangrene of the confider it. as irrational and unworthy of hotice. At t 
crotum, were other confequences of this method. See fame time, we with it to be underftood that we fhould only 
Mém. de l’Acad. de Chirurgie, tom. v. p. 651, and the deem the experiment juttifiable in particular cafes, where a 
fupplement, page 88. trufs fails in cite the hernia properly reduced, and. where 
things fairly explained to him, is’ 
confiderable noife in the world, under the appellation of the willing to encounter whatever rifk there may be. In the 
i i ir expofing courfe of time the Operation might be more extenfively ada 
and opening the hernial fac, and then fewing it up with the vifed, after its frequent fuccefs ha onftrated.. 
Hon fi : i for ftrangulated lerniz 
remarkably efficacious, and not occafioning a deftruction of might oftener term 
the telticle. tunity tak 
its natural pofition. The gold wire was twifted by a pair of ; 
forceps, fo as to conftriét the procefs of the peritoneum, truded parts, and then cut off the remainder below the igas 
without comprefling the {permatic veffels, and keep the in- ture. _this with fuecefs in two cafes. Default alfo 
tefline from falling down again. On this methed, Heifter cured a congenital bubonocele at the Hotel are ia 
rightly remarks, that it feems ufelefs: and incapable of fuc- a licature on the mouth of the fac. Chir. Wahrnehm. b. 2. 
ceeding ; for if the wire is not made tight, the inteftine will p. 2 
\ if it be drawn tight, 
e fpermatic cord will be compreffed, and the tefticle 
Much as the punétum aureum, in its original form, ap- 
ak £2 deferve condemnation, we confider an Core tao 
which feems to be fomewhat analogous, as one © the mo ; . : 
rational propofals ever made, Lat ig view of effecting ara- operation, be ent ney nee a é: te, ne 
dical cure of the bubonocele. The method alluded to ‘sthus utually attending its ahr oe fa poke ca ace 
Bie etn che Pubonoesie« EN eTace’ wow betore ts. Of the Freer eee een oft liable. Te fekdom 
« cius, in his tréatife of lithotomy, mentions another hernia 1s that to which eae cid - m3 om as 
much better method of curing ruptures, without the lofs of le fubjects, who, on the ot! | rely 
the telticle, which he learnt among the Ru ians.. A longi- abdo- 
inal incifion was fir d 
The li hari | d, which 
e ligature was then left hanging out of the wound, 
— fil it digeited off of itfelf. 
By this method, he affures us, many have been cured without 
. ffels. ‘hi method 18 : h 
¥ by Sermecius recommended as of the greatelt ufe in adults, mg tne 
__ Where the intefline cannot be retained in the abdomen by finding’ eee 
: received a treatife from mule a, 
* in which he mentions or Poupart | 
. : « : 
