HERNIA. 
fpine of the os pubis, which is behind and below the neck of 
the fac in an inguinal hernia, is on the fame horizontal level, 
. and rather withia it in the crural rupture. 
‘ration 1s now urgently required, and o} 
-be delayed, fince the ufual tightnefs of the ftri@ure, in thefe 
eales, at once precludes all hope of relief from any other pro- 
ceeding, os SR the progrefs of the fympt 
‘rapid. ~All the lateft and beft writers feem to agree, that the 
og: 
a 
ut 
S 
rd! 
3 
2 
al Hernia.—The opera- 
rnia, like that for the bubonocele, 
d nor 
' ‘d ftate. The vicinity of fo many large blood-veffels 
to the neck of the fac, and the de 
firiture, however, ren 
‘difficult than that for the b 
2 
‘ » 
anatomical information, and much caution, are requifite in ite 
performance. - 
he divifion of the integuments is to begin an inch above 
the crural ring, i direéti 
and outwards. 
adopting Mr. Aftley Cooper’s 
method, in which the incifion of the integuments is to begin 
*¢ an inch and a half above the crural Se ina line with the 
middle of the tumour, and be extended downwards to the 
centre of the tumour below the arch. A 
thus been made, the unopened fae and vifcera in a res 2 
this idea, the ftri€ture is divided in 
ac 5° 
he -and then to cut into the fac, by placing the blade of the knife 
horizontally. Into this opening a directer fhould be alleds 
and the fac ope fond sit 
A. Coo 
t « 
always find, that, after laying open the _hernial 
geon ought undoubtedly to take advantage of the 
ttance. But on no account is he juttified in 
dilate the opening, and making long and tedious 
é 
