[ m 1 
Cicatrix, effedually to fecure the Patient againft a 
Rupture. During the Time of the Cure he was con- 
fined to his Bed, always kept to (paring Diet, and or- 
dered never to go to Stool but in. a Bed-pan ; by thefe 
means the Wound was completely healed up in lels 
than a Month, and the Patient foon after, difcharged 
with a Trufs, which he was ordered to wear fome 
Time, to confirm the Cure. 
That the Appendix Coed fhould be the only Gut 
found in this Rupture, is a Cafe fingular in Pradice : 
This was full of Excrements, and occafionally could 
be diftended with an additional Quantity, which up- 
on Preffure was returned into the Colon, with that 
kind of Noife which Guts replaced generally give. 
This had occafioned a Diminution of the Tumour 
when eompreffed,. before the Operation was per- 
formed;, as the Patient was lying backwards with his 
Head downwards, and an Increafe of it as he flood 
ered, when the Faeces from the Colon could get into 
it again. 
The Patient does not remember, when he fw al- 
lowed the Pin which had perforated the Gut within 
the Rupture. But as this Rupture was from his In- 
fancy, fixed and unreducible, fo it is likely the Pirn 
had then made its way into the Appendix Coeci pro- 
lapfed; and that an Inflammation enfuing thereon, 
had occafioned an Adhefion, whereby the Increafe of 
the Tumour had been checked, and the Redudion of 
the Parts prolap fed thereby, rendered impradicable. 
The Surgeons who conftantly drefied the Patient 
before the Operation, did obferve then, as they have 
fince, that the Humour difcharged formerly at the 
Eiftula, had frequently the Appearance, and, as they 
thought, 
