x 
md 
HER 
melee. to lot the upper part of the tunica vaginalis, or to | 
caufe, I will not _— nd to fay; but t fact 
body of a 
the ot ® ight that | eould not iinet it ‘without 
dividing t 
Ta this ieee of hernia I have alfo more frequently found 
conneétions and adhefions of tle parts ta;each other, than in 
the hae one; but there is one kind of conne¢tion Scien 
met with in the congenital hernia, which can never be Bu 
Laie in. that which is a common hernial fac, and which may 
require all the dexterity of an operator to fet free; 1 mean 
that of the inteftine with the tefticle, from which I have more’ 
mation 
¢ ible of pain, C. 
Tea ae quantity of fluid as be collected in the 
a congenital hernia, = by adhefions and conneétions’ 
a the parte: within, the entrance into it from the abdomen 
thoul wale which I have twice feen) the 
. the difficulty of diftinguifhing the’ 
telticle, and the flu€tuation of the fiuid, may occafion it to 
be miltaken for a common hydrocele ; if, without attend- 
ing to other see but trating merely to the feel 
aad e ferotum, a puncture be hattily made, it 
jay create a ae deal of easy ; ati poflibly do fatal 
mulehief, 
“ By what has fallen within my obfervation, I am inclined 
0 believe that the fac of a co ee hernia is very = 
common hern 
ib 
ee but the penne are feldom, if ever, remem 
Pott’s 
cates cae the abs Dike 
change’ can 
cand Sat, and Wrifberg, and a reference to the works, 
pox, Se «aad when — se ni regarded 28 sea — wnention is made of them, may be found in Mr. 
a Age ge nt of a trufs ean then only be Lawrence’s ‘Treatife on Ruptures.. ti fe wig of fuch. 
The operation for theeonginital emia ‘neues ciadcoetods —, a i so Reormine-a4 
blance to that for the ‘ele, the chief difference being, of @ "OP ora of the male fub- 
: tunica 
NIA. 
ferved, by all the belt writers on the fubje&, that in thefe 
cafes, ‘the ftricture is particularly — by acon- 
traction of the neck of the fac aight inftances, the 
contraction has been noticed lower ae. It fhould be re- 
, however, that the ftrangulation may Gkewile be 
» produced either by the inner or outer opening of the ring. 
The ftri@ture is to be divided, either directly upwards, or 
upwards and outwards, juft as is done with refpect to the 
bubonocele 
Uncommon in Con igenital Hernia.—Thus we find, that the or- 
dinary congenital hernia differs from other fpecies of rupture, 
by the cary vifcera: lying in the cavity of the tunica 
vaginalis, uncove by any other production of peritoneum. 
it is o wedaby to relate, that a particular cafe is fome- 
times met swith; where the bowels, befides being contained 
in the tunica vag = have likewife a peritoneal covering, 
ie example of this difeafe was 
po veinided “another. 
- fent engaging our attention, the vifcera are protruded, after 
the obramntiention between the j 
inali and, therefore, the peritoneum is carried 
down along with the vifceray and forms the hernial fac. It 
cles e proper her 
ftantly in apro aig fea a had every where contracted 
hefion to the original procefs o 
rounded it, except at its eosin Be 
ternal furface 
the interior furface of the seri 
ftate.. The rupture was firft no- iced F yt 
child was about two months old. Mr, 
that as < childrea are often attacked with a {crotal her- 
nia in firft or fecond month after birth; it is probable 
that the “difeate may often be ‘of this {pecies when it comes 
on at fo early a period o: ‘life. 
- infantilis, as it can only the parts retain the 
ftat ppcmecome en wi 
An operator; ignorant the nature of this kindof Bac ag 
ht be greatly perplexed, on opening the 
fo find another hernial fac within it, hick wo would 
fand in need of being divided. 
ous: Hernia to the Inguinal Congenital in ps — 
Small produétions of a peritoneum eg been obferved in: 
t 
ture, 
$, am 
Such oni < of the be peritoneum 
male. 
red with Lm tunica vaginalis o 
Te “i oe held Tf ha has not been afcer- 
xe ©6They have 
tion tained vita or the upper’ part of te diverticula become 
clofed, like the communication betwee 
oa lis. hey saeco atic by Nuck, Cam- 
He thinks, therefore, that — 
> this fort of rupture ca ap ate not npeesry be hernia 
a 
