A treatise of chirurgical operations after the newest, and most exact method founded on the structure of the parts ... : to which is annex'd A general idea of wounds / written originally by Joseph De la Charier ; and translated into English by R. B.

CHAP. X. Of the Operation of Exomphalos.

AFter having us'd Bandages, and all Medicines, as well general as particular, without success, you must pre∣pare the Sick to the Operation: Being dis∣pos'd, the Surgeon must lay him on his Back, without violating the tumor, and en∣deavour to reduce the Intestine into the Belly, pinching up the skin on one side, whilst a Servant does the same on the o∣ther, and with a Bistory incise all along the side of the tumor, that he may avoid the Umbilical Vessels, particularly the Sus∣pensorum of the Liver, for this Visera be∣ing no more suspended, the vena cava would be comprest, and the Circulation hindt'd, which would cause Death.

If you are sure of the reduction of the Intestine, you must softly incise still into the Cavity of the Belly, and scarifie the Lips of the Wound in all its extension, to procure a strong Cicatrix; make the in∣tersected stirch; some pretend the Quill'd Suture is more covenient, because it more strongly refists the motions of the Muscles and Intestines. You must intro∣duce the Tampion of Lint tied to a Thread, to hinder the regurgitation of the parts, and to give way to the Matter;

as it Incarns, you must diminish your Tent proportionably, till the Cicartrix be form∣ed. Here good Diet, and repeated Cly∣sters are to be preferr'd before other Re∣medies, as in Gastroraphia.

This Operation includes other particu∣lars, which will more properly fall under the Discourse of the Bubonocele.

Notes

• How to per∣form the Operation.
• Danger of the Suspen∣sorium He∣patis.