HERNIA: 
corded by Sandifort in his Obf. Anat. Pathol. 1. i, cap. 3, _ Henermann found a iece of ileum, equal in } te 
is extracted from Mr. Lawrence’s treatife. Riteution a finger and a half, proteadd at the reat ova The he 
urine, and difficulty of introducing the catheter, followed a was covered by the firft and fecond heads of the’ triceps and 
violent cough. A large tumour occupied the whole cavity the peétinalis. (Chirurgifche Operationen, b. i. p. 
ofthe vagina. Flutuation could be felt in this, but no urine An entero-epiplocele has been feen in the fame fituation in a 
was evacuated on preffure, unlefs the catheter wasintroduced young man feventeen years of age. (Klinkofch in Differ- 
_. atthe fame time ; then a entiful evacuation enfued, but the - tat. Med. Pragens, vol. 1. p. 185. Camper met with’ pro- 
_ contents were not entirely difcharged, unlefs the compreffion trufions of the peritoneum at the obturator foramen in the 
was continued. When all the urine had been drawn off, the dead fubjeét. (Demonitrat. Anatomico-patholog. lib. i. 
cure, Three other cafes of large fwellings in the vagina, others to 
reduced by the employment of the catheter, and again in-- evidence to prove that the difeafe fometimes occurs 
creafing, were communicated to Sandifort by a very fkilful” In fhort 
Cc. Pp 70. 
of the hernia of the foramen ovale being 
ma; but inftead of making a protrufion into that canal, In confequence fora! 
étinalis and triceps, 1t 
_ they pafs between it and the levator ani, and forma {welling - covered by thofe large mufcles, the 
_ inthe middle of the labium pudendi. Mr. Afiley Cooper cannot well form an external {wellin 
fufpedts that this cafe has fometimes been miftaken fora her- generally efcaped obfervation till after death. 
-nia of the foramen ovale. Its fituation alfo renders it liable one 0 Garengeot’s ca e, W 
ftrangulated, not only made an external {welling, but was 
upper part of the labium being free from the tumour is fuffi- reduced and went up with a gug ling noife. 
i iftinéti " Were a furgeon to meet with this {pecies of rupture, the 
When the pudendal hernia admits of reduction, a common fame treatment would be required as 1s applicable to hernix 
The hernia, if poflible, fhould be reduced, and 
female bandage, or the trufs, fometimes employed for the in general. 
prolapfus = fhould be eae: A peffi T dids immo-' kept up with a fuitable trufs. Should it become ftrangula- 
tely large, could not very well keep the parts from ted, and not be relieved by the u 
defcending, as the protrufion happens fo far from the vagina. uld b ‘orm 
Mr. Aftley Cooper believes, that when this hernia is ftran- as 1t wo ld be, to cut through fuch a thicknefs of parts. 
gulated, -it may, in general, in confequence of the yielding We pel ee lay mgs = . s reper xa So 
nature of the parts, bi , pri | i rur els and nerves. The divifion of the obturator uga- 
e parts, be reduced, by preffing the protruded c¢ ve OE rte tate in ca ours “4 
e ramus ifchii. Should this plan prove unavailing, the as not to endanger the obturator artery. However, in the 
effect of the warm bath, bleeding, and tobacco ciyllets event of its ariling in common with the epigattric artery, 
fave the it would not be quite out of all hazard in this mode of ope- 
patient's lif : i i be . : a 
ae: e, Mr. Aftley Cooper advifes the incifion to Te ata Ths Wibeate re bit that it my 
be cautioufly ope tri ivided inv  happen-is completely proved by ‘well authenticate Se 
ie te — sears an re mtd Ye ae The cafe ria ad or never been afcertained till after 
death, in confequence of the gh tr red lying 
the patient to empty her bladder, either before tryin under the gluteus maximus mu cle. An initance, Ww was 
; ) g to re- £ . Asie 
duce the t eis eae aed Mere f frangulated and undifcovered till after the patient's deceafe, 
the tumour, or undertaking the operation. A cafe o age over i in the fecond part of Mr. Afiley Cooper’s work 
tic 
his work on the Crural and’ Umbilical Hernia. on hernia. ° particulars : 
« _ Thyroideal Hernia, or Hernia of the Foramen Ovale of the gentleman by Dr. Jones, fo well sree for his Pee 3 
Pebois.—It is well known to every body verfed in anatomi- able elucidations of the fubje& o agate et he i. 
sith heen top yan Spt 50% am ann Be 
scp alge aoe vam @ ER itn Ba cs <a feagekon the right fide of the rectum into the pelvis, and a 
fe into a f 
terior part for th art : 
uti dete, Thies Pee is ob iggy? cot than fold of it w seg sie =a fac, which pe - out 
_ Would tae a : ont. Of the: pelvis at the ifehiatic not he inteftine ad- 
uffice for the tran{miffion of thefe parts. Its mar $ € re a or een pomisy the feng 
gin is partly formed by the ligament, and partly by a con- ere 
derable oblique notch in the under furface “ of the a ae Laie 3 towards the Qomach were very much 
i g _contti- air, and 
_ tal branch of the os pubis. 
. Protrufions of the vifcera song fuch op cae + 
: ae ra =e ogi f : the floma h itfelf, juf 
! : a thyroideal herniz, a difeafe, wh fe occa nal exiitence {pot was even nae fo ex = / d f 
<a » 
Santov been put out of all doubty thougl the cafe may be pylons diexure. fal oie was found 
oe KAS ees ce <a ang eee : : 5 ps 
