In  the  chapter  on  "  umbilical  hernia,"  there  is  not  much  to  attract  o
attention.  A  truss  invented  by  Mr.  Eagland,  of  Leeds,  and  which  v
highly  commended  by  Mr.  Hey,  is  that  which  our  author  prefers  in  on
nary  cases  of  umbilical  rupture.  It  is  figured  in  the  work  before  ut,  ai
consists  of  a  convex  cork  pad,  and  a  horseshoe  spring  attached  by  a  hiiii
to  either  side.  When  there  is  a  very  lax  and  pendulous  state  of  abdome
Mr.  Teale  advises  that  the  pad  should  be  attached  to  '*  a  broad  pkte
steel  of  very  moderate  concavity ;"  or  if  necessary,  an  ivory  compress  i
tained  by  adhesive  plaster  may  be  employed.  The  tequent  fatality
this  form  of  hernia,  when  strangulated  and  subjected  to  operation,  certain
justifies  the  remark  that  the  sac  should  not  be  opened^  if  the  stricture  o
possibly  be  relieved  without  this  step.
The  remaining  chapters  of  the  work  treat  successively  of  **  ventral,  oM
rator,  ischiatic,  perineal,  vaginal,  pudendal,  and  diaphragmatic  hemis
Mr.  Teale  is  enabled  to  add  but  little  from  his  own  personal  experiev
to  our  information  regarding  these  less  common  forms  of  hernia.  I
narrates  one  fatal  case,  which  occurred  in  his  own  practice,  of  ventii
hernia.  In  protrusions  at  the  anterior  wall  of  the  vagina,  a  truss,  ^'ea
sis  ting  of  a  compress  supported  by  a  spiral  spring,  so  as  to  press  nponti
external  labia,"  is  spoken  of  in  the  highest  terms,  as  applicable  where  i
internal  pessary  cannot  be  borne ;  this  instrument  is  dso  manufiidiivi
by  Mr.  Eagland,  of  Leeds.
