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)

73

sac. Thar part which appeared sound, and
adhered closely to the sac, I sufFered to remain,
lest I sliould wound the sac ; for its irregular
wrinkled surface made the excision difficult.
" The patient recovered very well, but the
hernia returned, and a truss was applied to
prevent the interline from descending as usuaL
" In this case, it seems to me highly pro-
bable, that the interior surface of the omen-
tal sac became the exterior furface of the in-
testinal one. Had not the interline retired
while I was dividing,the hernial sac, I mould
have found a double hernia, one omental, and
the other intestinal."
These are very important cases, and serve
to point out to surgeons the necessity of a mi-
nute examination into the nature of the dis-
ease, and os the symptoms which follow the
operation sor the removal of hernia.
OF