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all events^ be remembered that immense wounds are often made in the abdomen with the sabre, and the patients do well; of course^ had I done so, I should have united the edges very carefully with stitches.
In this case I have the most distinct recollection that there was a complete sac contained in the
The caecum scrotum, and in that sac was the caecum,
was contained ., , . i • i i •
i?hi2hs§ ¢, w;g lnadherent in any part; and, indeed, it not adherent. was not only reducible, but, after the puncture had been made, it was reduced, and was, in truth, freely moveable; and, after death, it was found within the abdomen, partly distended with air, shewing that the orifices had completely closed, and that no contents had escaped.
Case vii. — John Gooding, aet. 67, was admitted July 31, 1828. He had been long subject to scrotal hernia, which he said had been small. From a sudden effort, a large protrusion took place on the 24th, and became strangulated. Every endeavour had been employed by the surgeon who attended him in the country, to return it, without success.
The tumour was large, elastic, and tense: tender, but in no great degree. The abdomen, likewise, tender; no sickness or hiccough; tongue moist; pulse not much disturbed.
Leeches were applied, and a purgative of calomel and jalap given. In the evening he voided some scybala, but the pain and tenderness ha vingincreased, the operation was determined on.
The investments were thick, and there was much
whim, fluid bleeding; the division of the sac was muchEw.' effected safely, but no fluid escaped; (I
