Operative surgery . faces on allsides, and, after division of the constric-tion, it can be passed through the neckof the sac into the abdomen. If thefinger be outside the sac serous surfaceswill be absent, and the finger can not be passed upward. The existence of cyst constrictions of the sac (Fig. 1101),or a double sac (Fig. 1102), in the line of incision may confuse the surgeon ;however, if the finger be introduced into them in turn, their non-serouslining and the limited extent of each variety will expose the fallacy. Thesac is opened sufficiently to expose its contents to a careful scrutin
Operative surgery . faces on allsides, and, after division of the constric-tion, it can be passed through the neckof the sac into the abdomen. If thefinger be outside the sac serous surfaceswill be absent, and the finger can not be passed upward. The existence of cyst constrictions of the sac (Fig. 1101),or a double sac (Fig. 1102), in the line of incision may confuse the surgeon ;however, if the finger be introduced into them in turn, their non-serouslining and the limited extent of each variety will expose the fallacy. Thesac is opened sufficiently to expose its contents to a careful scrutiny in orderthat their condition may be carefully considered. The Examination of the Contents.—Unless contraindicated, the con-stricted point should be divided at once after exposure of the contents ofthe sac, in order to relieve the strangulation and thus enable the surgeon toestimate its influence on the integrity of the gut. Under all circumstances r Fig. 1100.—The operation of herni-otomy. Nicking hernial
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