HERWNIAi 
tempts at redudtion, to the great and ferious injury of the ed. 2. p. 155, 156.) We have no hefitation in declaring ovr 
truded parts, Nothing is more certain, than that it is. own belief, that, in the hands of any man of ordinary {kill, 
king of Spain. - be direéted away from this latter part. 
“ Introduce, along the internal fide of the inteftine, a r. Lawrence confiders “ the beft and fafelt method of 
cannulated or grooved found, with a blunt end, and a chan- executing this part of the operation, ta be that of rer 8 | 
nel of fufficient depth. This is to be dire€ted obliquely the thin pofterior border of the crural arch in the part fir 
inwards till it enter the crural ring, which will be known recommended by Gimbernat, that is, as nearly as we can, to 
by the increafed refiftance, as alfo, when its point refts upon_ its infertion in the pubes. This is the very | nch which 
the branch of the os pubis. ‘Then fufpend the introduétion ; conftitutes the ftri€ture, and where a {maller divifion will 
and, keeping the found. (with your left hand, if you are accomplifh our objeét than in any other fituation ; yet, hal 
operating on the right fide, and vice ver/#) firmly refting upon an inch in all cafes, and, 2 many inftances, a longer {pace 
the branch of the os pubis, fo that its back fhallbe turned may be gained in this quarter, without affeGting the main 
towards the inteftine, and its canal to the fymphyfis pubis, infertion of the ligament into the {pine of the bone. 
introduce gently, with your other hand, into the groove o crural arch, therefore, is lefs we cened by a divifion of this 
the found,, a biltoury, with a narrow blade and blunt end, than of any other part. Treatife on Ruptures, p. 379- 
ote 
by alittle increafe oF refiftance. Cautioufly prefs the biftoury The advice given us upon this point by Mr. Aftley Cooper, 
‘to the end of the canal; and, employing your two hands at is to divide the ftriture obliquely inwards and upwards, at 
once, carry both inftruments clofe along the branch to the right angles, to the crural arch. 
body of ( When the blood. 
by Gimbernat, is unattended with danger; but 
‘oeninics happens, the obturator artery arifes from 
. * . 
-incifion being thus made wit 
. 
in event of its taking 
a 
ound. * A very {mall divifion of the pet | : : a iy 
deviation from the ufual courfe of the obturator artery were 
of reducing the femoral hernia ; and, confidering the more frequent than it appears to be, he fhould ftill think 
° 
afion 
this {pecies of hernia, the divifion of the femoral ring ought tended with fo m . ao 
to be no greater than sa pecetine for Geen scion of procedure the patient aa be Ppt to the of . 
the hernia.”” This gentleman advifes the divifion of the double operation 5 one below ap Siti ast Om int th 
‘ring to begin at that part which is neareft the fymphyfis of ligament. The di m ; ’ 
ye ning the flriéture and the hernial {acy w 
{he Pubes, and he has nfually made the incfion upwards and Pitt rr eveach other. In this attempt tbe 
bl : Bey 
ben presnancy of four months and upwards, are in danger of Pad 1 far iy up ma pradiice and that the 
“ing wounded. . Hey acquaints us that the firit o the ould be exceedingly 
Occurred in an operation ormed after this 
fide of 
eke 
