Hernia of the Uterine Adnexa, with a Personal Experience of Seven Cases

more intimately the anatomical and pathological conditions present, not merely as regards the nature and extent of the peritoneal protrusions, but also with regard to the contents of the protrusions. Nothing is more instructive than the results found from a series of operations on young children; and having had the opportunity of operating upon a considerable number of young females for hernia, I am enabled to place on record several cases of hernia of the ovary and Fallopian tube. Inguinal hernia in the female is associated with hernia of the uterine adnexa in a very large proportion of cases. One may expect to find this association in from 25 per cent, to 30 per cent, of inguinal hernise operated upon in the female. Out of 23 of my own operations for inguinal hernia in the female, the ovary or Fallopian tube or both were present in seven cases. Of a total number of 76 cases of inguinal hernia operated upon in female children in the Edinburgh Eoyal Hospital for Sick Children, 30 had contents in the hernial sac; and of these 24 contained the ovary, Fallopian tube, or both. They therefore form the most common content of female inguinal hernia found