Monro, Alexander: Observations On Crural Hernia: To Which Is Prefixed, A General Account Of The Other Varieties Of Hernia: Illustrated By Engravings (Edinburgh [u.a.], 1803)

29
abdominal muscles in the formation of this dil-
ea se *.
It may be observed, like wise, that the diipo-
sition to hernia is peculiar to certain families ;
for, in some instances, it seems hereditary.
Those who are afflicted with hernia, in con-
sequence of debility, seldom run much riik of
strangulation. They are subjecl to a degree of
fulness, sense of weight and presmre, and tension
in the groin scarcely amounting to pain, which
are increased by coughing, slatulency, or after
violent exercise.
The tumour is at iirst small, becomes very
gradually larger ; and the pain is so trifling,
that the patient, until the tumour has increased
to a considerable size, remains ignorant of the
nature of his disease.
Whether the ventral hernia is owing to the fir ft
or second of these causes, is sliil undetermined.
Molt authors suppose that this form of hernia
arises
* " Relaxatur vero etiam mesenterium, ccditque vi musculorum
" abdominis ac diaphragmatis ; urgetur, propellitur, propter in-
" guinum laxitatem, inteilinum, omentum, saepe utrumque."
Vid. Camper, de Bubonocel. page nth.