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)

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mediately covered and bound down by the
tendinous aponeurosis of the muscles of the
thigh; and sometimes also, in consequence of
inssammation bringing on adhesion, the tu-
mour is firmly united to the surrounding cel-
lular membrane.
The neck of the tumour, from the presfure
of the crural arch, is commonly narrow *.
The body of the tumour is generally of a
smaller size than that of a scrotal hernia : it
is not exactly round, but a little flattened, from
the pressure of the tendinous aponeurosis of
the muscles of the thigh.
In some instances, the tumour seems as if
it were tilted upwards upon the crural arch :
The crookedness of the pasiage musc increase
the difficulty of returning the bowels into the
cavity of the abdomen, and consequently ren-
ders the riik of strangulation much greater
than usual.
In the scrotal hernia, the tumour sometimes
acquires a great size, as the peritoneum not
being
* Vid. fig, 2d of plate 3d.