3i
esfect of a warm climate, and to long and gseat
muscular exertion.
An unusual increase in the bulk of any of the
viscera of the abdomen or pelvis, to such a de-
gree, as to occafion distention in the parietes os
the abdomen, I have enumerated as a 4th caufe
os hernia.
To this may be imputed the frequency of um-
bilical hernia aniongft old sat women. And
hence, alfo, the umbilical hernia is the conse-
quence os pregnancy; efpecially in women who
have had many children, and at fhort intervals.
Authors, who describe the ftate of pregnancy,
mention the projection os the navel, as a com-
mon fymptom. The umbilical ring, in such
cafes, being dirt ended beyond its natural iize, is
apt to remain so ; and, consequently, the en-
largement os the navel to continue, efpecially in
women os a relaxed habit os body, even aster
delivery. This enlargement becomes greater
and greater in every suture pregnancy, until at
iaffc it terminates in a persect umbilical hernia.
As
esfect of a warm climate, and to long and gseat
muscular exertion.
An unusual increase in the bulk of any of the
viscera of the abdomen or pelvis, to such a de-
gree, as to occafion distention in the parietes os
the abdomen, I have enumerated as a 4th caufe
os hernia.
To this may be imputed the frequency of um-
bilical hernia aniongft old sat women. And
hence, alfo, the umbilical hernia is the conse-
quence os pregnancy; efpecially in women who
have had many children, and at fhort intervals.
Authors, who describe the ftate of pregnancy,
mention the projection os the navel, as a com-
mon fymptom. The umbilical ring, in such
cafes, being dirt ended beyond its natural iize, is
apt to remain so ; and, consequently, the en-
largement os the navel to continue, efpecially in
women os a relaxed habit os body, even aster
delivery. This enlargement becomes greater
and greater in every suture pregnancy, until at
iaffc it terminates in a persect umbilical hernia.
As