- 
HER 
‘parents are s Feoquently put to repeated expence, as the band- 
age wears out, and to: additional — ed m the time con- 
fumed in paying abe neceflary attenti 
- The ancients had different modes af. seipivint? the asians, 
‘but what they have tranfmitted to us may be referred to two 
different procefles. One confitted in reducing the parts, and 
afterwards tying - > an and-fac, without opening 
the latter aa he other, an incifion was made in the 
fac, either before or hier tying it, for the purpofe of being » 
fure that no piece of inteltine was, or could become ftran- 
gulated in the ligature. Celfus adopted the firft plan. Balas 
gineta preferred the fecond, and was imitated by all the 
Arabian 2 oaey and their face effors. Avicenna, Albu- 
~cafis, and hauliac, give us proofs of this in their 
feveral sa 
Experience foon decides — of thefe modes of operating 
ought to be chofen. e is lefs painful, and equally fafe ; 
-for one foon becomes h abituated to afcertaining whether 
there is {till any inteftine in the fac by rubbing the oppofite 
fides of this bag againft each other. The other, which is 
unneceflarily cruel, increafes the pain, oe making the 
method at all more certainly. facodant The 
ufually adopted, ah Paré, who has deferibedi it, does not even 
ention the former. Latterly, fome variations in the plan 
of operating were made. — fimply tied the bafe of the 
tumour ; others paffed throu pe ne or two needles, armed 
with ligatures, for.the aces fixing fuch ligatures in a 
better manner, and even making, for this RES a circular 
incifion for the lodgment of them. It is chiefly in the 
Arabian practice that we meet with this cruel proceeding, 
_which was alfo ufelefs, as the ligature was never known to 
fail when properly applied. aré alfo de‘cribes it; but 
Saviard, the only modern 
rejected it, and followed the plan long ago advifed by Celfus. 
Sabatier feems | to recommend, in his work on the operations, 
both: 
) much refembles that of 
cabanas with little pain. In fhort, 
he child, on whom the —— is to be done, muft be 
placed on its back, with its thi bent, and its head 
inclined towards the cheft. The fate is to reduce the 
protruded parts forming the tumour, and to hold them fo 
with his finger at the fame one that he ras the hernial 
fans and rubs its fides betwee 
waxed ligature of middling fize, each turn being tied with 
a double knot, in fuch a manner as o occafion little 
pain. The tum 
-which is to be fupported with one or two 
-a circular ie i fecured with a feapulary. ‘A A bight tell. 
flores ommonly takes place in the conftriéted parts by the 
fe en iets as a — fwells after its bafe has 
Poa Be 
nal. 
latter has been - 
who has prattifed the ligature, 
fuccefs may be com letel ve pe at the a 
ox ure -ahalf; 2 tic an 
umour, thus tied, is to be _ iene wa ¥ 
hen’s egg, i 
affiitant to 
NIA. 
coloured, livid, and fmaller. A third ligature, put on in 
ay as the preceding ones, entirely obftru@s the 
cire it. The part turns black and faced, and 
commonly falls off on the eighth or tenth da A ‘tmall 
ulcer is left, which, being properly drefled, very Soin heals, 
and leaves a cicatrix fufficiently ftrong to refift the impulfe 
“oaltplistiad by coughing, or other efforts of the abdominal 
mufcles. For two or three months, ee after the 
racine are already publifhed in the Parifian Surgical Jour- 
The relation of others here would only prolong our 
obfervations in a fruitlefs manner. Suffice remark, 
the. oe a of ail his pupils ; and that children, thus ope- 
rated upon, were carried home, and brought back every day 
to be dreffed till the cure was completed. is. 
But one may doubt (fays Sabatier) quoting the artic 
in the journal, where Default treats of the prefent difeafe 
whether the jafaas got rid of the hernia, as it might have 
—— fome time afterwar ds. Numerous faéts remove this 
Defaul s 
eobie: confultation for other ee a oo _ after 
ftuden 
“2. 
e was no impulfe 
Geis children, i in the 
ined perfectly cured of their umbilical hernia, by the 
opeaiiion which Default has revived.  Bichat is acquainted _ 
with two young fubjeéts, who were operated on four y a 
ago, and have fince had no relapfe 
The _.. is almoft c certainly fuccefsful in young 
infants ; but it becomes lefs fo in proportion as their age 
Saskia: Bichat relates three cafes, which tend to they et 
that the cure is when the child is four years 
old, anid impoffible when re is nine. Several other opera- 
‘tions, done too late, have had the fame refult. See Ceuvres 
Chirurgicales de — — = Mémoire fur la Hernie 
Ombilicale des Enfans 
Of the Congenital Umbilical Hernia. —Under this head 
| oe 
ing at the navel. "The term congenital is here emplo 
firict propriety, as the difeafe a€tually exiits at the time of 
Mr. Lawrence obferves, this form of the com- 
peaking, to be called a rupture, as 
birth ; but, as 
plaint ought not, ftriétly f 
In n one ¢ Mie £ 
sy ‘reduced the inteltine, and | 
hold the fun comprefled ya near to the abdomen 
5 : 
