The practice of surgery : embracing minor surgery and the application of dressings, etc., etc., etc. . ch, without inflammation or obstruction to the passage of faeces,and circulation, cannot be returned to the cavity of the inability to replace the hernial contents in the abdominal 23 266 II E K N I A cavity, may be owing to the growth of the protruded omentum ormesentery becoming too large to repass the orifice by which itemerged; to adhesion of omentum or intestine to the surface ofthe sac; membranous bands may form across the sac, or omen-tum may get entangled in the intestine
The practice of surgery : embracing minor surgery and the application of dressings, etc., etc., etc. . ch, without inflammation or obstruction to the passage of faeces,and circulation, cannot be returned to the cavity of the inability to replace the hernial contents in the abdominal 23 266 II E K N I A cavity, may be owing to the growth of the protruded omentum ormesentery becoming too large to repass the orifice by which itemerged; to adhesion of omentum or intestine to the surface ofthe sac; membranous bands may form across the sac, or omen-tum may get entangled in the intestine, or a protruded ccecum towhich the intestine adheres by cellular membrane behind, the saconly existing on the forepart. Tlie dangers of irreducible hernia, are rupture of the intestineby a blow ; liability to strangulation, and the formation of abscess. INGUINAL HERNIA. Inguinal hernia is that form of protrusion which passes throughone or both abdominal rings, and is divided into oblique, di-rect, congenital, and encysted inguinal hernia. Of these varietiesthe oblique is most frequently met Oblique Inguinal Hernia follows the course of the sperma-tic cord. It commences by a fulness, or tumefaction, at the inter-nal ring, which is a little above the centre of Pouparts ligament;it passes then into the inguinal canal, where it receives the nameof bubonocele. The hernia gradually advances along the canal,passing through the external abdominal ring, and descends to the HERNIA. 267 labium in the female, constituting labial hernia, and into the scro-tum of the male, and is called oscheocele, or scrotal hernia. Direct, or Ventro-Inguinal Hernia does not follow thecourse of the spermatic cord, and is, therefore, not covered by thecremaster muscle, but bursts through the conjoined tendon of theinternal oblique and transversalis muscles, opposite the externalabdominal ring. Sometimes the tendon is distended, instead ofruptured, and pushed along before the protrusion, thus becoming
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