HERNIA 
The latter is united externally’ to the veffelé, to the theath, 
including the fartorius. The covering of the vein on the 
infide, or concavity of the femi-lunar edge, has been jutt 
a thin and irregu- 
intervenes between 
This covers 
glands of the lower extremity, and with the fuperficial veins 
-which join the trunk of the faphena.”’ 
defeription by abridgment. 
Having introduced an explanation of the parts in which 
the femoral hernia is fituated, it becomes our duty to enter 
upon a more particular account of this kind of rupture, pre- 
vious to the obfervations on the treatment. 
We find, then, that the vifcera are protruded through the 
which lies under the crural arch, ‘between its 
A protrufion of the 
forwards to the furface, fo as to lie in general in front of the 
crural arch. The neck of the fac, or that portion of it lying 
gl Poupart’s ligament, is generally about half an inch in 
Tan eth: , | eee RE . ; ee ih very 
confequences, by encouraging the fi to make his firft 
neifi arrantable boldnefs. One variety of femoral 
ous 
hernia defcribed by Mr. Attley Cooper (part ii. p. 20, Plate 
‘ which the parts defcend into the 
he fe : } to 
the foregoing ftatement. In this cafe the tumour is fituated 
under the fateia lata, is more obf{cure to the feel, and has not 
a defined edge. 
Although the hernial fac, in ordinary cafes, is not covered 
by the fafcia lata, yet, what Mr. Attley Cooper has named 
the fafcia propria is {pread over the whole of it to its very 
neck, bein of thick ftruéture than the peritoneum. 
nd of the falciform procefs pafles over the up- 
he tumour ;. it 1s i 
he neck of t 
u cr arcny, 
bounded by t 
Gimbernat firft 
‘3 ’ bolls perm 
. 
Pita. ft 
1. ee a : 
~ Vou. XVII. ae 
on 
- much fo, that almoft all the inftances of ftrangulated in 
in Mr. 
ly ting off the operation, 
he ture. — 
on the outfide of the hernial fac, about half an inch from i 
neck, When the obturator artery arifes from i epi re i 
of a fac, 
it may either proceed on the outer or inner fide 
- in which latt circumflance, taking into the account the iliac 
vein, the neck of the fac would be furrounded by a la 
veffel in three-fourths of its circtimference. i sane 
upper 
the 
fac. 
The femoral hernia is ufually of a rounder form, and le 
bulk when ftrangulated, ee {crotal hernia. Mr. H ¥ 
has repeatedly feen it refembling an enlarged inguinal gland. 
It is apt alfo to extend in a horizontal rather than a vertical 
direétion. It is the common rupture female fex, fo 
intefti. 
nal hernia in females, which have occurred in Hey’s 
practice, have been of the femoral kind. 
From the {mall fize of the crural ring, we cannot wonder 
that the ftri€ture fhould alfo be greater than that which is 
‘ually met with in cafes of bubonocele. Mr. Hey, in the 
lat edition of his Pra@tical Oblervatious, informs msy that he 
has now performed the operation for the femoral hernia, 16 
times in the female, and twice in the male fubjec ; and that he 
zy é o @ o = 5 
into the femoral ring, for the purpofe of conduéting the 
knife. Nay, he has thrice found this intredu¢tion impra 
cable, and has been under the neceflity ing ufe of a 
direGtor. ‘There are fome very s ftatements on this 
{ubje&t in Pott’s works, in which we are advifed to reduce 
the prolapfed parts, without dividing the itri€ture, a thing 
which is, for the moft part, utterly impoflible in the operation 
for a ftrangulated femoral hernia. 
ewe: A ee 
“ z crural hernia moftly. contains inteftine, and very feldom 
omentum alone. When the tumour 1s , and includes a — 
piece of omentum, it ma be miftaken for an enlarged ingui- — 
nal If the {welling has appeared ly after 
on 
violent effort ; or 
liable to be miftaken for a bube- 
d be led to di- 
and in the ope. 
