r 7*3 ] 
Thus I reafoned with myfelf : It is but firft making 
this laft Gut enter in, and bringing the Difeafc to its 
firft State : Then, feeing there is a pretty large Por- 
tion of a Canal Brill remaining between thefe Two 
Guts, as appears by the Bignefs of the Trunk of the 
Branches formed by them j what remains to be done, 
after the Whole is reduced, is to clofe the exterior 
Orifice of this demolifhed Canal j that is, to clofe the 
Opening made by the Strangulation and Mortifica- 
tion j and I conceive, that this laft Operation is very 
feafable. The next thing to be done is to refrefh 
the Lips of the Fiftula formed by the Integuments of 
the Abdomen , which are thick enough, and on which 
fhall be afterwards made a Gafiroraphia. proportionate 
to thefe Parts. 
The great Difficulty is, to reduce this End of Gut, 
which is grown hard, and full of Tubercles. I have 
already made a fruitlefs Attempt, both with Cata- 
plafms to repair the Damages, and with manual Ope- 
rations proper for making it re-enter. I am adually 
watching a favourable Moment for this Operation. 
If I fuccced, I intend to ftay for making a fecond 
Operation, till this Gut has remained long enough in 
the Belly to repair itfelf, and refume its Functions.; 
In order to that, I fhall content myfelf for the firft 
Eight Days, with keeping it in the Belly, applying 
refolving Fomentations, and giving proper Clyfters. 
Then will 1 put into the Opening of the inteftinal 
Canal, that anfvvers to the Fiftula, a filver Canula of 
the fame Bore with the Gut in order to pufh this 
Portion of a Canal into the Belly, to fupport it 
therein, and re eftablifh its Communication with the 
Portion newly reduced. This filver Canula will be 
fixed 
