Year: 1875

could, to that which is laid down in
Dorsey's Surgery for the reduction of
inguinal hernia. and attempted it's re-
duction by the taXis, but was unsuc-
cessful-I then wet sponge with cold
spring water, and applied it to the
hernia.-The patients thirst soon
abated. and he became in some degree
relieved, in so much that he fell into a
sleep, and was in hopes by continu-
ing the cold application the reduction
would be affected. l left him in that
situation at evening, with strict in
! junction OIL the attendant to continue
the application until the hernia was
reduced and if It was not reduced
by the application before morning, to
call on DR.. Pierce. and l would meet
him there with DIR. Swift.-Accord-
ingly went early the next morning,
accompanied by DR.. Swift, and met
DR.. Pierce with the patient. After a
consultation we were unanimously of
the opinion that the only chance Of
SAVING the patient was by operating.
We then took about the same guam
tity of blood from his arm that had
taken the previous evening. After
administering an anodyne and empty
ing the bladder, the patient was placed
on the table, and commenced the Op-
Grafton by making an incision from an
inch above the abdominal ring to with
in two inches of the most depending
part of the hernia, through the skin
and cellular membrane to the length
of about ten inches, which opened to
view the external facia, which pro-
ceeds from the tendon of the external
oblique muscle. l next cut through
the middle of this thick covering,
down to the cremaster muscle, and at
tempted to introduce beneath it di-
rector, but was prevented by its strong
| adhesion 20 the cremaster muscle
The incision was then extended up
wards towards the abdominal ring,
and downwards to the extent of the
| former incision. The cremaster mus
Gle was then divided in like manner.
Not being able to introduce director
in consequence of the adhesion to the
sac, 1 proceeded to remove the adhe-
sion by means of my fingers and seal
pei, and with great difficulty l sue
ceeded. The sac was found to fuctu-
ate; and being opened sufficiently TO
admit my finger introduced it with
blunt pointed history, using my fin
ger as a director. The sac was then
opened from its lower extremity near
ly to the abdominal ring. AS soon as
the opening was made, it was discov-
cred that the intestine was sphacelated,
aud the fluid in the sac was glutinous.
nv futid, and of dark csler.-
Search was then made for the structure
which was situated at the mouth of
the sac, and by introducing my finger
with blunt pointed history, made
some cnlare ement of the structure
From the pecuniary situation of the
patieit and the particular intestine
which was spacelatcd, it was not
thought advisable to make an artifi-
cisl anus. l then drew out the intes-
tine until came to the sound part,
| and then directed an assistant to hold
it at each place just below the mOrti-
fed part. then divided it by trans
verse incision, taking a piece out to
the extent of eight inches and a half,
together with portion of the mesen-
terry. The two ends of the intestine
were then brought in contact, and
lacked together by four stitches; com
mencing at that part where the mes
entcry is attached to the intestines,
and the others in three equal distances.
The ligatures were about eighteen in
ches long, and were tied in the middle
| enlarged the opening into the cavity
of the abdomen returned the intestine
leaving the ligatures which connected
them, hanging out of the external
wound.


The wound at the lower part was
brought together by three interrupted
sutures. and the upper part was held
by sticking plasters. Pledgets of lint
were then applied, and secured by
proper bandages.


The external prudential artery, was
divided and secured by a ligature,--
The mescntric artery was also divided
and was taken up with the teuaculum
! Of hot
when the intestine was reduced, the
ends hung out of tie opening. The
patient was then laid in bed.


The wound put on a healthy appear
ance. and by the kind care and attend.
ancc of Messrs. VIM. Stoddard and
Lyman IIotchkiss particularly the
former, the patient in four weeks was
able to ride, and is now enjoying ap-
parently as good health as he did pre-.
viously to the operation.


RAvENNA, November 81. 1925.
! A JOKING MINSTREL MAKES "A MIS-
TAKE.


Charley Backus, the practical joker
was in a small town in Connecticut
the other day, and, as he started for
New York, he stood on the rear plat
form of the last car of the train. just
as the whistle was blown and the cars
began to move, Backus espied a big
fellow loungimg in the depot, and
shaking his fist at him in assumed rage,
he shouted:


"Oh, there you are, you villain I've
been looking for you all over thi:
cursed town. Oh, you knave, yol
thief, you scoundrel!"


AT this time the train was rapidly
moving out of the depot, and Racku
wildly shook his fist at the astonished