bruises of the skull, i. 384; post-mortem
appearances, i. 384; Pott on the puffy,
circumscribed, indolent tumor of the
scalp, indicative of suppuration between
the dura mater and the skull, i. 385;
Dease refers the principal cause of disease
in these injuries, not to inflammation and
suppuration of the dura mater, but to
injury of the pia mater and brain, i. 385;
Dease on the cases in which the cranium
is laid bare, contused, or its tables simply
divided, i. 386; Guthrie on bruising or
destruction of the periosteum, not neces-
sarily followed by exfoliation or death of
the bone, i. 386; Guthrie on the differ-
ence between the primary and secondary
swellings, i. 386; treatment of bruises of
the skull, i. 386; treatment of the subse-
quent inflammation, and compression of
the brain from suppuration on its surface,
&c., i. 387; South on poultices in bruises
of the scalp, i. 387; Guthrie and Hennen
on cold lotions in that injury, i. 387;
South on the treatment when inflamma-
tion of the dura mater has set in, i. 387;
Dease's rules for the application of the
trephine, i. 387; Guthrie on the existence
of pus beneath the dura mater, i. 387;
Dease on puncturing the dura mater,
when pus is not found between it and the
skull, i. 387; cuts of the skull, i. 388;
Hennen and Thomson on sabre wounds
of the head, i. 388; superficial wounds
caused by a sharp instrument penetrating
to the diploe, or through the inner table
of the skull, i, 388; similar wounds made
with a blunt instrument, and accompanied
with splintering of the bone, i. 388;
Hennen's cases of sabre-cuts of the head,
i. 388; Thomson on sabre-cuts of the
head and neck, and the infrequency of
hernia cerebri, i. 389.-Fractures of the
Skull, i. 389; clefts or fissures, i. 389;
counter-clefts and counter-fractures, i.
389; Pott on the symptoms accompa-
nying fracture of the skull, not depending
on the injury to the bone, but from injury
to the brain, or some of the parts con-
tained in the cranium, i. 389; indications
of fracture of the skull, i. 389; South on
bleeding at the ears a sign of fracture
at the base of the cranium, i. 390; imme-
diate results of fracture of the skull, i.
390; Guthrie on fracture of the inner
table of the skull from the blow of a sword,
axe, or other clean cutting instrument, i.
390; the danger of clefts and fractures
of the skull much exaggerated, i. 391;
South on the non-necessity for the trephine
in general, i. 391; fracture of the skull
with impression, i. 391; indentation of
the skull, i. 391; effects of indentation of
the skull, i. 391; Green's case of inden-
tation of the skull in a child, i. 391;

Astley Cooper and South on fracture of
the frontal sinuses, i. 392; Astley Cooper
and South on apparent fracture and de-
pression of the skull, i. 392; fractures
with impression of the skull require im-
mediate trepanning, i. 392; South, Astley
Cooper, and Abernethy on the treatment
of simple fracture with depression with-
out the trephine, i. 392; Dease's objec-
tion to the use of the trepan in simple
fractures, i. 393; in simple depressed
fracture, with decided symptoms of pres-
sure on the brain, trepanning should be
performed, i. 394; Astley Cooper on the
necessity for raising or removing the de-
pressed bone in compound fracture, i.
394; Hennen does not coincide in this
opinion, and gives cases of musket-shot
wound of the skull in illustration, i. 394;
separation of the sutures of the skull by
violence, i. 394; the severity of the vio-
lence causing injury of the skull an im-
portant point in determining the danger,
i. 394; Hennen on gun-shot wounds of
the skull, and their effects, i. 394; Dr.
Cunningham's case of compound fracture
of the skull, and lodgment of the breech
of a pistol within the cranium, i. 395;
Astley Cooper's case of the lodgment of a
ball in the frontal sinuses, i. 395; Dr.
O'Callaghan's case of the lodgment of a
foreign body in the frontal sinuses, i.
395; injuries of the brain and its mem-
branes, i. 396; Hennen on perforations
of the skull by bayonet-thrusts, i. 396;
Astley Cooper's case of fatal perforation
of the orbitar plate of the frontal bone, i.
396; Guthrie's cases of fatal perforation
of the orbitar plate of the frontal bone, i.
396; South on the importance of caution
in the prognosis of wounds of the orbit,
i. 397; Dr. Congreve Selwyn's case of
recovery from wound of the brain, i. 397;
the first indication in injuries of the brain
and its membranes, is to search for and
withdraw all foreign bodies, i. 398;
Astley Cooper, Brodie, Hennen, Larrey,
and Percy on the removal of foreign
bodies in injuries of the brain, i. 398;
Lawrence's case of pistol-shot wound of
the brain, i. 398; Cline jun. and Astley
Cooper on puncturing the brain in wounds
of the dura mater, i. 399; treatment
during suppuration, i. 399; treatment of
abscess of the brain, i. 399; South on the
propriety of opening abscess of the brain,
i. 399; La Peyronie's case of abscess of
the dura mater, i. 399; Dupuytren's case
of abscess of the brain, successfully opened,
i. 399; consequences of foreign bodies re-
maining in the brain, i. 399; South on
the consequences of foreign bodies remain-
ing in the brain, i. 399; Langlet's case of
a ball remaining in the brain for eighteen

months, i. 400; inflammation of the brain
and its membranes, i. 400; causes, i. 400;
symptoms and post-mortem appearances
of acute inflammation of the dura mater,
i. 400; symptoms of chronic inflammation
of the dura mater, i. 400; Astley Cooper's
case of chronic inflammation of the dura
mater, i. 400; South on chronic inflam-
mation of the dura mater, i. 401; symp-
toms and post-mortem appearances of
acute and chronic inflammation of the
brain, i. 401; abscess of the brain, i. 401;
Green's case of sympathetic abscess of the
brain, with irritation and suppuration of
the dura mater, i. 401; Prochaska's case,
i. 402; prognosis and treatment of in-
flammation of the brain, i. 403; South on
mercury in the treatment of inflammation
of the brain, i. 403; if the symptoms
continue, trepanning must be had recourse
to, i. 403; if symptoms of suppuration
occur, prognosis very unsatisfactory, i.
403; trepanning advisable under such
circumstances, i. 404; great care and
watchfulness requisite in every injury of
the head, to guard against the insidious
inflammation of the brain which occurs
at a later period, i. 404; inflammation of
the brain sometimes simulated by the
effects of impurities in the bowels, i.
404.-Pressure on the Brain, i. 404;
causes, i. 404, 405; symptoms, i. 404;
Guthrie on stertor an uncertain sign of
compression, i 404; Guthrie on a pecu-
liar whiff or puff from the corner of the
mouth a sign of compression, i. 404;
prognosis i. 405; treatment, i. 405;
South on mercury in compression, i. 405;
removal of extravasated blood either by
absorption or trepanning, i. 405; signs
indicative of the propriety of trepanning,
i. 405; removal of the extravasation after
the performance of the operation, i. 406 ;
South on the removal of the extravasated
blood after the operation, i. 406; South,
Pott, and Brodie on puncturing the dura
mater, when the extravasation lies beneath
it, i. 406; Pott on the extravasation be-
tween the meninges or on the surface of
the brain, i. 406; Chevalier and Ogle's
cases, i. 407; Hunter, Astley Cooper,
Abernethy, and Lawrence on puncturing
the dura mater to evacuate the effused
blood, i. 407; South on the operation of
trepanning to remove effused blood, i.
408.-Concussion of the Brain, i. 408;
symptoms, i. 408; Astley Cooper and
South on the state of the pulse in concus
sion, i. 409; Astley Cooper and Larrey's
cases of loss of memory, &c., after con-
cussion, i. 409; Hennen on the loss of
certain faculties from concussion, i. 409;
Astley Cooper on the condition of the
alimentary canal and bladder during con-

cussion, i. 409; the diagnosis of concus-
sion from compression, i. 409; concussion
and compression may occur together, i.
410; difficult to distinguish between
drunkenness and concussion or compres-
sion, i. 410; in drunkards delirium tre-
mens may succeed concussion, i. 410;
inflammation of the brain may be con-
nected with concussion, i. 410; primary
and consecutive changes in the brain from
concussion, i. 410; Dupuytren distin-
guishes between commotion and contusion
of the brain, i. 410; Walther and Astley
Cooper on the symptoms of laceration of
the brain, i. 410; Astley Cooper on the
condition of the brain in moderate con-
cussion, i. 410; causes of concussion, i.
411; Astley Cooper on the causes of con-
cussion, i. 411; Schmucker's case of con-
cussion, i. 411; prognosis, i. 411; treat-
ment, i. 411; South on the treatment of
concussion, i. 411; Astley Cooper's case
of enormous blood-letting in ccrcussion,
i. 412; after-treatment, i. 412.-Tre-
panning in Injuries of the Head, i. 412;
opinions of surgeons differ as to the ap-
plication and necessity of the trepan, i.
412; Dease, Desault, Richter, Abernethy,
Astley Cooper, Brodie, Langenbeck, and
Walther only employ it when secondary
symptoms of irritation and pressure re-
quire it, i. 412; Petit, Quesnay, Pott,
Sabatier, Louvrier, Mursinna, Zang, and
Schindler employ the trepan more gene-
rally, i. 413; reasons by Dease and others
for the infrequent use of the trepan, i.
413; South on the infrequency of fungus
of the brain after trephining, i. 413;
reasons by Petit and others for a more
general use of the trephine, i. 413;
non-necessity for the use of the trephine
in the majority of cases, i. 414; the tre-
pan should only be employed for the re-
moval of decidedly dangerous conditions
in injuries of the skull, i. 414; indications
for trepanning, i. 415; South on trepan-
ning in caries and necrosis, i. 415; Dr.
Wells' case of epilepsy consequent on
fissure of the skull, relieved by the tre-
phine, i. 416; Green's case of cataleptic
fits after fracture of the parietal bone, i.
416; Green's case of insanity following
a blow over the longitudinal sinus, i.
417; Astley Cooper's case of suspended
intellect, the consequence of an injury to
the head, cured by the application of the
trephine, i. 418; parts of the skull where
the trepan may be applied, i. 418; the
operation of trepanning, i. 419; directions
for using the arch-trepan, i. 419; South
on the distinction between the trepan and
the trephine, i. 420; operating with the
trephine, i. 420; South on the operation
of trephining, i. 420; trepanning on the

frontal sinuses, i. 422; South on trepan-
ning on the frontal sinuses, i. 422; re-
moval of the piece of bone, i. 422; South
on the removal of the depressed and de-
tached bone, and of any points from the
edge of the fracture, i. 422; application
of several crowns, i. 422; South on the in-
frequency of the necessity to apply the
trephine more than once, i. 422; com-
pletion of the operation after the employ-
ment of the trepan, i. 423; South on
bleeding from the middle meningeal ar-
tery or from a sinus, i. 423; after-treat-
ment, i. 423; South on the after-treatment,
i. 424; general treatment, i. 424; dressing
the wound, i. 424; the process adopted by
nature in filling up the opening in the
skull, i. 424; unhealthy suppuration, i.
425; fungus of the dura mater, i. 425;
fungus of the brain, i. 425; treatment, i.
425; protection of the part operated on
by pads of leather, or of metal lined with
wood, i. 425; Larrey on the subsequent
effects of the closure of the opening in
the skull, i. 425; various bandages for
injuries of the head, i. 425; abscesses in
the liver consequent on injuries of the
head, i. 426; Hennen on sympathetic
affections of the liver, stomach, lungs,
and heart in injuries of the head, i. 426;
Hennen on priapism in injuries of the
head, i. 426; Hennen on loss of the gene-
rative faculty from injuries of the back
of the head, i. 426; causes of abscesses of
the liver after injuries of the head, i. 426;
Hennen on the sympathy between the
brain and the liver, i. 426; signs and
termination of abscesses of the liver, i.
427; treatment, i. 427.

Heart, wounds of, i. 454; displacement of,
ii. 96; actual protrusion of, ii. 96.
HEATH'S case of excision of the uterus by
the abdominal section, ii. 829.
HECHT on the chemical constituents of the
brain-like substance in medullary fungus,
ii. 719.

HEDENUS' apparatus for fracture of the neck
of the femur, i. 569.

HEINE'S case of reduction of the consecutive
dislocation in hip-disease, i. 268; artificial
leg, ii. 846.

HEISTER'S artery-compressor, i. 299; band-
age for fractured clavicle, i. 551; ob-
jected to, i. 551.

HELD on the division of the peronei mus-
cles in splay-foot, ii. 187.
HELLMUND'S mode of applying Cosme's
powder, as a caustic in the treatment of
cancer, ii. 771.

HENLE'S opinion that the exciting cause of
inflammation operates through the ner
vous system, i. 25; discovery of fatty
vesicles in the serum of pus, i. 40; on
the continuity of synovial membrane over

the cartilage of joints, i. 212; on the
fibrous structure of articular cartilage, i.
224; on the non-vascularity of cartilage,
i. 224; explains the absorption of car-
tilage from want of nutriment, i. 234; on
the formation of new vessels, i. 292.
HENNEN, Dr., on the after-management of
the ligature on arteries, i. 306; on the
shock caused by a gun-shot wound, i. 338;
on severe bruising by shot, i. 339; on the
treatment of wounds by a ball in the
fleshy part of the arm, thigh, or buttock,
i. 341; on the use of the seton to bring
away separated pieces of bone, i. 342; on
the occurrence of necrosis in gun-shot in-
juries of bones, i. 342; on the nature of
the injuries in gun-shot wounds requiring
amputation, i. 344; on immediate ampu-
tation, i. 345; on the fatal character of
tetanus, i. 380; on cold lotions in bruises
of the scalp, i. 387; on sabre wounds of
the head, i. 388; cases of sabre cuts of
the head, i. 388; does not agree with
Astley Cooper that the trephine should
be used in all cases of compound fracture
of the skull, and gives cases of musket-
shot fracture in illustration, i. 394; on
gun-shot wounds of the skull, and their
effects, i. 394; on perforation of the skull
by bayonet-thrusts, i. 396; on the re-
moval of foreign bodies in injuries of the
brain, i. 398; on the loss of certain facul-
ties from concussion, i. 409; on sympa-
thetic affections of the liver, stomach,
lungs, and heart in injuries of the head,
i. 426; on priapism in injuries of the
head, i. 426; on the loss of the generative
faculty in injuries of the back of the head,
i. 426; on the sympathy between the
brain and the liver, i. 426; on gun-shot
wounds in the neighbourhood of, pene-
trating the orbit, i. 429; on emphysema
in wounds of the windpipe, i. 432; case
of wound of the larynx and œsophagus,
i. 437 case of severe nervous symptoms
following gun-shot wound of the throat,
i. 437; on the course taken by balls in
wounds of the chest, i. 440; on the prog-
nosis of wounds of the chest, i. 444; on
the occurrence of primary and secondary
hæmorrhage in incised or punctured
wounds of the chest, i. 446; on the im-
mediate treatment of penetrating wounds
of the lungs, i. 450; on emphysema, i.
451; case of secondary emphysema, i. 451;
on the healing of wounded lung, i. 452;
on the protrusion of a portion of lung, i.
453; case of foreign body in the heart,
i. 455; case of wound of the pericardium,
i. 456; on the escape of the intestines
from injury in penetrating wounds of the
abdomen, i. 457; on the treatment of
penetrating wounds of the abdomen, i.
460; on the use of the suture in wounded

intestine, i. 467; on effusion into the
cavity of the abdomen in cases of pene-
trating wounds, i. 472; case of musket-
shot wound of the abdomen, the ball
passing afterwards per anum, i. 474; case
of ball wound of the pelvis, involving the
bladder, i. 481; on the duration of syphilis
under the non-mercurial treatment, and
on the subsequent occurrence of secondary
symptoms, i. 671.

HERNANDEZ' experiments on the iden-
tity of syphilis and gonorrhoea, i. 162,
164.

HERNIA:-definition, ii. 1; divisions, ii. 1;
ruptures of the belly, ii. 1; situation, ii. 1;
varieties of ruptures, ii. 2; South on cer-
tain forms of ruptures, ii. 2; parts form-
ing the rupture, ii. 2; presence of the
hernial sac, ii. 2; cases in which it is
absent, ii. 2; South on the presence of
the sac in vesical and cœcal herniæ, ii. 2;
Taramelli's case of hernia of the vermi-
form appendix, ii. 3; sub-divisions of
the sac, ii. 3; its coverings, ii. 3; changes
which take place in the hernial sac, and
their causes, ii. 3; case of ossification of
the sac, ii. 3; South on the causes of
stricture in the body of the sac, ii. 3;
South on the hour-glass contraction of the
hernial sac, ii. 4; size of ruptures, ii. 4;
several ruptures often occur in the same
person, ii. 4; double hernial sac very
rare, ii. 4; Bransby Cooper, Lawrence,
and Astley Cooper on the double hernial
sae, ii. 4; Morgan's case of a pouch
formed at the mouth of the tunica vagi-
nalis, ii. 4; vertical division of a hernial
sac into two, ii. 5; South on the occa-
sional rupture of one side of the sac in
femoral hernia, ii. 5; reducible and irre-
ducible ruptures, ii. 5; congenital or ac-
quired ruptures, ii. 5; causes of ruptures,
ii. 5; ruptures more frequent in men than
women, ii. 6; Lawrence and Cloquet on
the statistics of ruptures, ii. 6, 8; symp-
toms of a reducible abdominal rupture,
ii. 8; diagnosis, ii. 8; South on the diffi-
culty of distinguishing between intestinal
and omental rupture, ii. 8; symptoms of
intestinal rupture, ii. 8; South on the
gurgling noise in the rupture, ii. 8; symp-
toms of omental rupture, ii. 9; of vesical
rupture, ii. 9; of other ruptures, ii. 9;
ruptures always important diseases, ii. 9;
formation of adhesions in the sac, ii. 9;
condition of the intestine in the sac, ii. 9;
of the omentum, ii. 9; South on the thick-
ening of the intestine in the sac, ii. 10;
canses of strangulation, ii. 10; seat of
strangulation, ii. 10; signs determining
the seat of the strangulation, ii. 10; Mal-
gaigne and Diday on the seat of strangu-
lation, ii. 11; distinction between incar-
ceration and strangulation, ii. 11; Scarpa,

Lawrence, Travers, Boyer, von Walther,
Jaeger, Langenbeck, Wilhelm, Blasius,
A. Cooper, Rust, Sinogovitz, and Seiler
on the nature of strangulation, ii. 11;
South on incarceration and strangulation,
ii. 12; symptoms of acute strangulation,
ii. 12; South on costiveness as a symptom
of strangulation, ii. 13; South and Luke
on the dilatation of a strangulated rup-
ture on coughing, ii. 13; Astley Cooper
on the complication of strangulated hernia
by the presence of an irreducible rupture,
ii. 13; symptoms of strangulation with a
less degree of inflammation, ii. 13; causes
and symptoms of incarceration, ii. 13;
spasmodic incarceration, ii. 13; symptoms
of gangrene of the heruia, ii. 14; stran-
gulation of the omentum, ii. 14; may
terminate in suppuration or gangrene, ii.
14; Key on the propriety of active ge-
neral and local depletion in strangulated
omental hernia, prior to the operation, ii.
14; treatment of ruptures, ii. 14; of re-
ducible ruptures, ii. 14; reduction of the
rupture, ii. 15; South on the application
of the taxis, ii. 15; South on the danger
attending violence in the application of
the taxis, ii. 15; South, Le Dran, De la
Faye, Arnaud, Louis, Richter, Scarpa,
Sabatier, Dupuytren, Sanson, Lawrence,
Key, and Sir Charles Bell on the reduc-
tion en masse, ii. 15; Green and Calla-
way's case of reduction en masse, ii. 16;
Bransby Cooper's case, ii. 17; Luke on
reduction en masse, ii. 17; Cloquet's ex-
planation of the manner in which this
accident takes place, ii. 17; Luke on the
signs indicative of the reduction en masse,
ii. 18; Dupuytren and Luke on the ope-
ration required after the reduction en
masse has occurred, ii. 19; re-descent of
a reduced rupture prevented by appro-
priate bandages, ii. 20: trusses, ii. 21;
application of the truss, ii. 21; a truss
with a hollow pad required in adherent
rupture, ii, 22; a suspender to be used
for large, irreducible ruptures, ii. 22;
effects from wearing the truss, ii. 22;
Cloquet on the spontaneous return of the
hernial sac into the abdomen, ii. 22; ra-
dical cure of reducible ruptures, ii. 23;
five modes of attempting it, ii. 23; Hil-
danus, Blegny, Winslow, Richter, Lan-
genbeck, Boyer, Ravin, and Beaumont on
the use of increased pressure, and the
supine posture for that purpose, ii. 23;
Jalade Lafond's pad with a reservoir for
caustic, ii. 23; Paulus Ægineta, Avi-
cenna, Kern, Franco, and Monro on the
application of the actual cautery or caustic
for the purpose, ii. 23; ligature and
stitching of the hernial sac, ii. 24; prac-
tised with various modifications by Be-
rard, Franco, Paré, Nuck, Fabricius ab

Aquapendente, Guy de Chauliac, Le
Dran, Freitag, Senff, Schmucker, Theden,
Langenbeck, Kern, Petit, Lieutaud. Le-
blanc, Mauchart, Richter, Dionis, Mery,
Arnaud, Schreger, von Graefe, and von
Walther, ii. 24; the inhealing a plug of
skin, ii. 24; Dzondi, Jameson, and
Gerdy's plans, ii. 24; Gerdy's mode of
operating, ii. 24; modified by Signoroni
and Wützer, ii. 25; Brausby Cooper's
case, in which he performed Gerdy's ope-
ration, ii. 25; Bonnet, Mayor, and Bel-
mas' operations for the radical cure of
hernia, ii. 26; circumstances guiding the
decision as to the performance of an ope-
ration for the radical cure of hernia, ii.
27; the several operations for the radical
cure more or less dangerous, ii. 28; opi-
nions differ as to the value of these
operations, ii. 28; Schreger's indications
when the operation is admissible, ii. 28;
Astley Cooper's case, in which he in-
effectually removed the entire hernial sac,
ii. 29; Astley Cooper's objections to the
ligature of the sac, ii. 29; Petit's case of
approaching peritonitis caused by ligature
of the sac, ii. 29; Lawrence's objections
to operations for the radical cure of her-
nia, ii. 29; treatment of strangulated rup-
ture, ii. 30; employment of tobacco
enemata, ii. 30; South's objections to the
use of tobacco enemata, ii. 30; treatment
of chronic strangulation, ii. 31; employ-
ment of the taxis, ii. 31; symptoms fol-
lowing the reduction, ii. 32; symptoms
following failure of the taxis, ii. 32;
Ribes and Hey on the application of the
taxis, ii. 32; O'Beirne on the introduc-
tion of a thick elastic tube through the
rectum into the sigmoid flexure of the
colon, ii. 32; Ribieri and Guérin on local
anodyne applications, ii. 32; Nember,
Rennerth, and Preiss on the exhibition
of purgatives, &c., ii. 32; Church on the
use of tartar emetic, ii. 32; Bell on the
muriate of morphia, ii. 32; South's case
of mortified intestine from strangulation,
ii. 32; the proper time for operating, ii.
34; South on the proper time at which
the operation for strangulated hernia
should be performed, ii. 34; steps of the
operation, ii. 35; preliminary measures,
ii. 35; description of the operation, ii. 35;
South's objection to lifting up a fold of
the skin, and incising it, ii. 35; South on
the length of the first incision in scrotal
and femoral ruptures, ii. 35; exposure of
the sac, ii. 36; South on the division of
the coverings, and opening the hernial
sac, ii. 36; South on several cases of in-
ternal strangulation by bands from the
mesentery or diverticula of the ileum, ii.
37; dilatation of the seat of strangulation
by cutting, ii. 37; instruments for divid-

ing the strangulating part, ii. 37; South
on the division of the stricture, ii. 37;
dilatation without cutting, ii. 38; recom-
mended by Thevenin, Leblanc, Lecat,
Arnaud, Richter, and Scarpa, ii. 38;
South's objections to dilatation without
cutting, ii. 38; return of the intestines
after the division of the stricture, ii. 38;
South on the return of the intestines after
the division of the stricture, ii. 38; South
on the effusion of fluid after the intestines
have been returned, ii. 39; causes which
impede the reduction of the intestine, ii.
39; treatment of adhesions, ii. 39; treat-
ment of intestine distended with fæces or
air, ii. 39; Lowe, Loeffler, Richeraud,
Jonas, and von Graefe on puncturing the
distended intestine, ii. 39 ; South on the
treatment of adhesion between the omen-
tum or intestine and the sac, ii. 39;
South's objections to puncturing or in-
cising the intestine, unless distended with
solid matter, ii. 40; treatment of degene-
rated omentum, ii. 40; its removal by
ligature or incision, ii. 40; South and
Callaway's cases, ii. 40; Key's advice to
unfold the omentum before cutting it off,
ii. 41; South's mode of treating the pro-
truded omentum, ii. 41; sloughing of the
omentum, ii. 41; Astley Cooper's case,
ii. 41; Hewett on the formation by the
omentum of a sac enclosing the intestine,
ii. 41; South on secondary hæmorrhage
from the omentum, ii. 42; Key on abscess
in the sac, occasionally reproducing the
symptoms of strangulation, ii. 42; the
dark violet, or even dusky colour of the
intestine should not prevent its reduc-
tion, ii. 42; South on this colour, as
caused by venous congestion, ii. 42; gan-
grene of the intestine, and its treatment,
ii. 42; treatment of wounded and nar-
rowed intestine, ii. 42; treatment of old
irreducible ruptures when strangulated,
ii. 42; the operation of dilating the ab-
dominal ring, the hernial sac not being
opened, to be rejected in the majority of
cases, ii. 43; cases in which it may be
adopted, ii. 43; this proceeding adopted
by Franco, Paré, Petit, Garengeot, Monro,
A. Cooper, Key, and Preiss, ii. 43; ad-
vantages of this operation, ii. 43;
Guérin's subcutaneous incision of the ab-
dominal ring, ii. 43; Astley Cooper's
reasons for recommending the operation
of dividing the stricture without opening
the sac in large and old ruptures, ii. 43;
mode of operating, ii. 43; Lawrence's
modification of this operation, ii. 44;
Key's views with regard to this opera-
tion, ii. 44; Lawrence ascribes the fatal
results after the operation, not to the ex-
posure of the parts to the air and light,
but to the effects of protracted constric-