. Surgery, its principles and practice . pread out in afan-like manner over theposterior surface of thesac, sometimes occupyingspace of an inch or direct hernia, on the other hand, this intimate relationship between cord and sac does not exist, the cord is this variety of hernia being quite independent of the sac. The shape of an oblique hi- guinal hernia depends entirely upon whether it is complete or incomplete. In a bubonocele the tumor over the inguinal canal is usually elliptic in shape and is seldom very pro- noimced except on standmg or coughing. A scrotal hernia may assume a gr
. Surgery, its principles and practice . pread out in afan-like manner over theposterior surface of thesac, sometimes occupyingspace of an inch or direct hernia, on the other hand, this intimate relationship between cord and sac does not exist, the cord is this variety of hernia being quite independent of the sac. The shape of an oblique hi- guinal hernia depends entirely upon whether it is complete or incomplete. In a bubonocele the tumor over the inguinal canal is usually elliptic in shape and is seldom very pro- noimced except on standmg or coughing. A scrotal hernia may assume a great variety of shapes. In a hernia of small size it is usually cylindrical; in a very large hernia it may be pear-shaped, the lower end being the larger. In very large hernias the penis may be entirely Hernia in the Female.—Inguinal hernia in the female forms 60 per cent. of all ruptures in women and exceeds the total number of femoral hernias in both sexes. The Chagnosis is seldom difll- Fig. 26.—Labial INGUINAL HERNIA. 57
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