Se£b. IX. 
BuRSiE MuCOSiE OF THE HuMAN BoDY. 4 S> 
In 1774? in a cafe of hernia congenita, to which I was called by Mr Clark- 
fon furgeon at Dalkeith, we found the neck of the fac as well as the tendon of 
the oblique mufcle extremely conftri^led. After cutting the Ikin and ten- 
don, we with much difficulty divided the ftridlure at the neck of the faC ; and, 
having reduced the bowels, we Hitched the teguments. 
In the end of 1781, I was called by Mr Arrot furgeon in Edinburgh to a 
gentleman confiderably above fixty years of age, who had been long fubjed to 
a large hernia, which had been ftrangulated for feveral days. All the com- 
mon means of cure having proved ineffedual, I propofed the incilion of the 
tendon, which was very ealily executed j and after that all the bowels were 
readily returned into the abdomen, except a portion which feemed to grow 
firmly to the inner fide of the fae. All the bad fymptoms difappeared ; and 
the incifion, the fides of which were fupported by flitches, clofed like a com^ 
mon wound of the tegumentSi 
In 1782, I was called by Mr Simfoii and Mr Calderwood furgeons in Dal- 
keith to a cafe of crural hernia, which had been ftrangulated more than two 
days, in a Woman thirty -five years of age. I direded the tendon to be cut ; 
but flill finding refiftance froni a ftraitiiefs and thickening of the neck of the 
fac, we made a fmall perforation in the peritonaeum above the flridure, and 
introducing a probe bent femicircularly at its point cut the neck of the fac 
upon it* We then eafily reduced a fmall portion of the iliiirti which was 
ftrangulated, and Hitched the wound accurately. Six days thereafter I recei- 
ved from Mr Calderwood the following letter i 
« S I R, 
** I HAVE the pleafure to inform you that our patient at Dalhoufie pro- 
“ mifes a favourable recovery. She has had regular and free paflage twice 
" a-day. The pain in her belly is quite gone. She has had hardly any de- 
« gree of fever *, and the wound difeharges good matter. I am convinced 
' N the 
