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)

72
k
The slrangulation had subsisled three days.
She vomited frequently, and had had no stool;
yet the abdomen was sort, her pulse calm,
and her tongue clean.
I immediately performed the operation.
There was nothing in the hernial sac but
omentum, except a large quantity of serous
fluid. The omentum was in part gangrened,
and adhered to the sac. I could find no
aperture into the abdomen. My patient seem-
ed convinced that the interline had been down
before I began to perform the operation; and
srom the accurate description which (he gave
me of the different Hates of her disease, I saw
no reason to doubt the truth of her conjecture.
She allured me that, during the operation,
she had the sensation which Ihe was accustom-
ed to feel whenever the interline retired into
the abdomen. The hernial sac was much
wrinkled, as is, after being dislended, it had
sallen into a collansed Hate. I cut off all that
J.
part of the omentum which appeared dileased,
as well as all that projected from the hernial
sac.)