EXOMPHALUS CURED BY LIGATURES. 
563 
no doubt all will come right. 1 consider this to be a rare case. 
At one time I thought I should have had to apply the ligature to 
make a good cure of it ; but I was almost afraid of venturing on it, 
since the neck of the tumour was large, and I had never had any 
experience in such cases of the result of such practice. And yet, 
1 fancy, it would have proved successful. 1 should like to hear 
the experience of others concerning applying the ligature in tumour 
of the rectum. 
In this instance of my own, I thought at first it was only serous; 
afterwards, however, lymph must have become effused into it. 
EXOMPHALUS CURED BY LIGATURES. 
By the same. 
June 14, 1848. — THIS day saw a cart foal, two months old, be- 
longing to a gentleman in this neighbourhood, that had an umbili- 
cal hernia, which had existed ever since birth. The opening into 
the abdomen is about an inch and a half in diameter, and the tu- 
mour hangs down for about the same depth. The intestines can be 
forced into the abdomen, but on removing the pressure they im- 
mediately return again. Not knowing of any better method for 
its cure than the ligature, I determined to try it again in this case, 
having before been successful with two others. Accordingly, I 
cast him, and put a ligature of string on as close to the abdomen as 
possible. Ordered abstemiousness, and that the animal should 
not be turned out to grass. 
Ylth . — No unfavourable symptoms have appeared. The tumour 
is hot, but seems as if it was becoming strangulated. The liga- 
ture is deeply embedded. The opening into the abdomen is con- 
siderably lessened already. It is now merely a slong slit, not 
above an inch wide in its widest place. Applied a brass ligature, 
tighter than the last, in the same place. 
20 th . — The tumour is sloughing and separating. The skin near 
it is still warm ; perhaps only from contiguity. The swelling 
about the hernia is extending forwards under the abdomen. He 
looks duller, as if feverish ; but will drink whey, and eat grass. 
Has been out in the field with the mare part of the day and night. 
Foment the parts well several times a-day, and keep the bowels 
lax. 
22c?. — The swelling around the hernia has subsided, and the 
tumour is nearly off. Take the cord ligature off, since it is of no 
use, and tighten the metallic one. 
