A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . down, is increased by pres-sure made upon the external inguinalring, gives the sensation of a bag of showing the difference in the neck of the wr,rirm nndpr flip cskin find pnnvpvq intumors. (Wharton and Curtis.) WOimbUUUei me SKin dUU conveys TO the finger, on coughing, a thrill ratherthan an impulse. Reducible hernia is, after reduction, prevented fromrecurring by pressure at the external abdominal ring, and therein differsfro
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . down, is increased by pres-sure made upon the external inguinalring, gives the sensation of a bag of showing the difference in the neck of the wr,rirm nndpr flip cskin find pnnvpvq intumors. (Wharton and Curtis.) WOimbUUUei me SKin dUU conveys TO the finger, on coughing, a thrill ratherthan an impulse. Reducible hernia is, after reduction, prevented fromrecurring by pressure at the external abdominal ring, and therein differsfrom varicocele. Treatment.—The treatment of inguinal hernia is identical withthe treatment described for hernia in general. The incision of theconstricting fascia or tendon at the ring, in operations for strangula-tion, should be made directly upward in order to avoid the epigastricartery, which will be upon the inner or outer side of the neck accord-ing as the hernia is oblique or direct. As it is often difficult to decidewhich variety of inguinal hernia exists, the position of the epigastricartery is uncertain, hence incision directly upward is safest. If an. Eight inguinal hernia and left hydrocele FEMORAL HERNIA. 683 undescended testicle lies in the groin and is a complication of strangu-lated hernia, it may be necessary to excise the testicle at the timeherniotomy is done. Indeed, such excision may be demanded in thetreatment of reducible hernia accompanied by undescended testicle, inorder to make it possible for the patient to endure the pressure of atruss in this region. The radical operation has been described underthe Treatment of Hernia. Femoral Hernia. Anatomy and Pathology.—Femoral hernia is never congenital, andoccurs in women more often than in men. The protruding viscera es-cape from the abdomen into the sheath of the femoral vessels. Usuallythe exit is made internally to the femoral vein through what is calledthe internal femoral ring. The descending intestine
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