V. 
Sect.IX. Burs^. MucosjE of the Human Body. 
After this the bowels are to be returned by prefllire upon the fac^ with- 
out opening it farther ; and the wound in the Ikin is to be hitched fo accu- 
rately, by palling the hitches about the breadth of the huger from each 
other, as to prevent the accefs of the air. The wound in the Ikin ought 
likewife to be drehed with large pieces of lint fpread with fimple cerate, 
and thefe fiiould be covered with a comprefs. 
In the hernia congenita, where the bowels are in the fame fac with the 
tehicle, it is hill more necelTaiy than in the moh common kind of hernia to 
avoid opening the herniary fac, as the inhammation of the tehicle would add 
conhderably to the danger. 
f 
In the cafe of hernia congenita, which I treated along with Mr Clarkfon 
in 1774, the tehicle, which before the operation had been in a great mea- 
' fure concealed by the bowels defcending to the bottom of the fcrotum, 
was not fo much inflamed during the cure as to be fenhbly enlarged. 
\ 
Before I conclude, I cannot help taking notice of a want of accuracy in 
the late writers as to the manner of dihinguihiing the hernia congenita. Mr 
Pott, p. 311- fays, “ The appearance of a hernia in very early infancy, will 
/ 
“ always make it probable that it is of this kind ; but in an adult, there is 
no reafon for fuppofmg his rupture to be of this fort but his having been 
afflicted with it from his infancy. There is no external mark or charadler 
“ whereby it can be certainly dilHnguilhed from one contained in a compion 
“ hernial fac > neither would it be of any material ufe in practice if there 
was. 
O - Instead 
executed it with little difficulty. It was likewife eafily done in the operation I attended in 1782 
with Mr Simpfon and Mr Calderwood, and veryjately in a cafe I attended with Dr Alexander Ha- 
milton and Mr Andrew Wood furgeon. 
I 
