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Of the Cure of a Hernia omentalis.
THis Rupture is not made by the breach of the Perito∣naeum; because no great portion of the Omentum comes down, it being fastned to the bottom of the Stomach, the Gut Colon, and to the Spine. Therefore it is made by distention of the coat; espe∣cially because the Omentium is fat, which may very well therefore make lax and dilate, but never break.
The intentions of cure are two. First, the Omentum must be redu∣ced within the Abdomen, which is done with the Hands: Then, it must be kept from coming down again, which is done by Astrin∣gents. And because dilatation is made by moisture, or by a relax∣ing fat: therefore Ramex omenta∣lis requires greater driers than In∣testinalis. This is commended; ℞ Aloes, malicorii in vino nigro elixats, succi hypocystidos, thuris, glutinis fabrorum, an. part. aeq. gluten passo incequatur ad integram dissolutionem, post teratur in mor∣tario, & caetera addantur. As to the rest, this cure differs not from the cure of a Hernia intestinalis, and therefore here a Truss, the forty days course, Causticks and Incision will be proper. It is to be noted, according to Celsus c. 25. l. 7. That if a small portion of the Omentum come down, it must be forced up again: If a great one it must be seared, that it may dye and fall off: The readiest way is to bind, cut off and burn it. Yet we must not rashly and too soon proceed to Section; because of∣tentimes a Rupture is cured beyond expectation.