The practice of surgery . infant of but a few days old, andrequired operation. This is performed as in theordinary tumor. In the reducible cases, a care-fully adjusted truss is worn constantly ; prevent-ing protrusion ; tending to obliterate the peri-toneal opening; and so, speedily and surely,effecting a radical cure. 3. Hernia Infantilis.—This term is appliedto a more complicated state of parts, originatingalso in early life. The communication betweenthe cavity of the tunica vaginalis and that ofthe abdomen is shut at its upper part; but theformer cavity is unusually spacious, and ascendshig
The practice of surgery . infant of but a few days old, andrequired operation. This is performed as in theordinary tumor. In the reducible cases, a care-fully adjusted truss is worn constantly ; prevent-ing protrusion ; tending to obliterate the peri-toneal opening; and so, speedily and surely,effecting a radical cure. 3. Hernia Infantilis.—This term is appliedto a more complicated state of parts, originatingalso in early life. The communication betweenthe cavity of the tunica vaginalis and that ofthe abdomen is shut at its upper part; but theformer cavity is unusually spacious, and ascendshigh in the cord, containing more or less serousfluid. Behind this a hernia descends, investedby the ordinary peritoneal sac. In cutting downon such a tumor, we divide first the anterior portion of the tunica vagi-nalis, then the posterior; and, after this, appear the sac and its contents,unless the former, as is not unlikely, be incorporated with the posteriorlayer of the tunica vaginalis. This form is of rare Diagram Dlnetrating the stateof parte in Hernia Infantilis - Ventro-inguinal Hernia. This is also called the Direct inguinal hernia. Descent is unconnectedwith the superior abdominal aperture; and takes place through the ab-dominal parietes, immediately opposite the lower aperture—the commontendon of the internal oblique and transversalis muscles giving way atthat point. Sometimes, however, that tendon is pushed before thetumor, and forms one of its investing fasciae—protrusion in that case Luke, Medical Gazette, March 15, 1850. 406 FEMORAL HERNIA, not being through the lower abdominal aperture, but near it. Theordinary coverings are similar to those of the oblique variety; only, thisdescent being not directly connected with the cord—which is on its outeraspect—there is no cremasteric expansion. The course of the epigastricartery is external to the neck of the tumor (Fig. 174). And hencethe general rule, in all cases of inguinal hernia, when strangula
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