. Operative surgery, for students and practitioners . e bowel and treatment of theincision, etc. Sacral Vor Operation.—The patient lies upon the left side(Hochenegg), with the belly inclined somewhat toward the table, the OPERATIONS UPON THE RECTUM. 413 lower limbs strongly flexed at the knees and hips, and supported thusby an assistant, or he may rest upon the abdomen with the lowerlimbs hanging over the end of the table. A slightly curved incisionwith the concavity toward the left is made. It begins above on alevel with the middle of the sacrum and from two to three fingersbreadth (about two


. Operative surgery, for students and practitioners . e bowel and treatment of theincision, etc. Sacral Vor Operation.—The patient lies upon the left side(Hochenegg), with the belly inclined somewhat toward the table, the OPERATIONS UPON THE RECTUM. 413 lower limbs strongly flexed at the knees and hips, and supported thusby an assistant, or he may rest upon the abdomen with the lowerlimbs hanging over the end of the table. A slightly curved incisionwith the concavity toward the left is made. It begins above on alevel with the middle of the sacrum and from two to three fingersbreadth (about two inches) to the left of the middle line; it is carrieddown to the middle of the upper border of the coccyx, and from thispoint it is continued down in the middle line upon the coccyx, endingat its tip. This incision divides the skin, subcutaneous fat, and super-ficial fascia, and exposes in the upper part of the wound the lower por-tion of the gluteus maximus muscle, the fibers of which run at rightangles to the line of the incision. !****^§ss§^.


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