. Manual of operative surgery. Fig. 732.—{ Fig. 733.—{Baldwin.) Pouparts ligament be injured. J. Crawford Renton reports that Roux hassuccessfully used this method in 60 cases and he himself in 10. The superficialwound is closed in the usual manner. Aslett Baldwins Operation- (Lancet, July 21, 1906).—Step i.—Exposeand fully isolate the hernial sac. Reduce the hernia. Step 2.—Introduce a slightly curved director or dissector into the femoralcanal in front of the sac and with it dissect a path upwards between the parietal 598 HERNIA peritoneum and Pouparls ligament to a point about ]^
. Manual of operative surgery. Fig. 732.—{ Fig. 733.—{Baldwin.) Pouparts ligament be injured. J. Crawford Renton reports that Roux hassuccessfully used this method in 60 cases and he himself in 10. The superficialwound is closed in the usual manner. Aslett Baldwins Operation- (Lancet, July 21, 1906).—Step i.—Exposeand fully isolate the hernial sac. Reduce the hernia. Step 2.—Introduce a slightly curved director or dissector into the femoralcanal in front of the sac and with it dissect a path upwards between the parietal 598 HERNIA peritoneum and Pouparls ligament to a point about ]^ inch above Poupartsligament (Fig. 732). At this point tilt the end of the director forwards so thatit can be felt through th^ aponeurosis of the external oblique. Make a shortincision through the aponeurosis, parallel to its fibres and protrude the directorthrough the opening. Step 3.—Pass a forceps (sinus forceps or ha^mostat) along the director fromabove downwards (Fig. 733). Remove the director. Seize the distal end of thesac with the
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