. Surgery, its principles and practice . ofthe sac; ligation of the sac ashigh as was possible withoutcutting up the aponeurosis ofthe external oblique; dissec-tion of fundus of sac (a stepadded later); closure of ex-ternal ring by means of inter-rupted catgut sutures. Theresults of this opeiation werenot particularly satisfactory, the mortality in non-strangulated casesbeing about 7 per cent., and thecases traced beyond two yearsshowed 30 to 40 per cent, re-lapses. Championnieres methodconsists in slitting up the apo-neurosis of the external obliquewell above the internal ring,thus securing a
. Surgery, its principles and practice . ofthe sac; ligation of the sac ashigh as was possible withoutcutting up the aponeurosis ofthe external oblique; dissec-tion of fundus of sac (a stepadded later); closure of ex-ternal ring by means of inter-rupted catgut sutures. Theresults of this opeiation werenot particularly satisfactory, the mortality in non-strangulated casesbeing about 7 per cent., and thecases traced beyond two yearsshowed 30 to 40 per cent, re-lapses. Championnieres methodconsists in slitting up the apo-neurosis of the external obliquewell above the internal ring,thus securing a high removalof the sac. The canal is thenclosed by overlapping the apo-neurosis of the external obliqueby a series of mattress Method.—Bas-sini^^ in 1885 (published in 1888)introduced a new principle inclosing the canal, namely, thetransplantation of the method has given superiorresults to all others, and is atpresent so extensively em-ployed that a careful description will be given (see illustrations made. Fig. 38.—Bassixi Operation. First Step. Aponeurosis of the external oblique exposed and director passed in. INGUINAL HERNIA. 67
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