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extended its longed: diameter acrofs the epigaftrium 
about feven inches. 
The patient, by this time, greatly debilitated by 
the large evacuations and fever, which dill exided, 
became fo lowand difpirited, that die had given over all 
thoughts of recovey, her hufband and relations being of 
the fame opinion. To Dr. J. Dundas, an eminent 
phyfician, who had occafionally attended, 1 propofed 
making an inciiion into the tumor ; though the event, 
uuder the prefent circumdances, had but an indifferent 
afped. This propofal was, however, approved of by 
the dodor, our patient, and her relations, under the 
following terms, viz. to have the opinion of the 
principal furgeon or furgeons in that city on the 
expediency of the operation, in order that, fhould the 
experiment prove unfuccefsful, there might be no 
blame imputed afterwards. 
Strong fuppuratives, in the form of cataplafms, were 
now ufed, whereby the tumor became more promi- 
nent in two days; a very deep fluctuation being felt, 
a large caudic was applied on the mod depending 
poderior dde, thereby to avoid hurting the domach 
or its appendages by an incifion, which was made 
feveral hours after, from whence iffued a copious 
difeharge, at fird purulent, at lad glutinous, refembling 
the white of an egg: no adhefion to the peritoneum 
could be felt, though accurately tryed all round with 
the finder. 
O 
Great attention and care were ufed in the proper 
applications, bandage, &c. particularly in the podure 
of the patient ; ivory and filver flat cannulas, kept in 
the aperture, were materially beneficial, as well for 
the conveyance of balfamic injedions, as to facilitate 
the 
