HERNIA. 
aia, p. 24. Cooper on Crural and Umbilical Hernia, 
m * When the contents of an exomphalos are free from ad- 
hefions, they may in general be eafily reduced, on the pa- 
tient being placed in a recumbent pofture, and _proper pref- 
fure made on the tumour. The protrufion is then to 
prevented from taking place again by the inceffant employ- 
ment of a fuitable trufs. The truffes for the exomphalos 
ee 
reafon, too m care cannot be.taken to eat fuel food as 
is ete 3 eafy of i eftion. 
oulders. 
€ opening, ieee ehick the protruded bowels pe 
being generally capacious, the exomphalos is feldom {tra 
erage though ymptoms, bearing a near refemblance of 
.thofe of an incarcerated hernia, are not unfrequent. As 
e already ftated, the patient is apt to be affli@ted with 
F pe complaints, which can only be diftinguithed 
the confequences of {trangulation by the attentive and 
Iusicios Sars eon. Such difcrimination, a is O 
higheft importance 
of an operation ae iets would be likely to aggravate the 
_to be fully impreffed with the 
“not often _flrangulat ted, an 
sd 
the aperture dilate it, and, carrying before ty, a 2 il 
the ean produce a {mall tumour, w 
the Fimnote ows lar ning, as 
child mou gro in years, lofes al inate to consis 
n very young chi a cure of the umbilical 
hernia may be eafily fest, while in adults this defirable 
obje& is nearly impoffible. In infants, indeed, a cure may 
brought about by merely preventing the vifcera, for 
me, from being protruded, and from refi ed the natural 
aadetes of the bern, Rom the fhut u 
ompreffion and the ligature are the only aro. ae cont 
and rational methods of curing A ae of 
bs 
very 
fi We 
tine a ee Default againtt ah treatment by com- 
furgeons a themfelves with making one longitudinal objections ip by 
ith to confider them will 
Mesfion her pr two, preffion. Such prattitioners as wi 
f eh ther = refemble te ine shag, gana e pe : ind them de tailed by pete ae hfs are he george we o 
= Alle S and Mr. Law- a trivial nature. i 
he ie the propriety of aay to in opts é a oe umbi- — — — <b i coach Spire bot into 
ths, soigeaancoir aarti oe loft fight of of. If we look the other way, it will quickly ue 
fize, this peices ete either ng te es eee ftri€ture 
Without ea - fac, or oF cutting? the 
e ftri€ture to be dilated ill per- 
the | ae if they are not aera , and, i if 
re 
Raulet ve 
the ftrangulation, i is eee Two a 
this manne Coeper, are ronghy! in favour of 
A ps On ‘Craral and Umbilical Heri. ia) P- oe a 
tter ae fut. 
difcovered that the ligature, which is employed at 
Dieu, oa an uninterrupted fe 
cures, which, in 
he latter years of his practice, y: 
rd ee bn ne 4 his public Samer te At no their 
ee many he 
: “en operated on without a 
— gees ge 
are brought he ‘os “a sas saa Spree day, to be 2 till 
oh ten affliGed with umbilical ruptures, shoepactraben: saking the cure was com 
place before ne cicatrix of the navel has acquired fufficient - Tot cere 
firmnefs, It was afcertained by | alt that fuch hernie which are perhaps no 7. al by the re, it 
are. moft havens to happen in ie , third, and fourth may be cued eolag a igatu ar, ved 
a =e birth. ‘The bowels, bag Seno _ “pd a few days 5 prefiion is aioee 
