The practice of surgery . - a button-holestitch of catgut for the external oblique, and close in the skin woundwith a running hoi-se-hair stitch. Eveiy student will recognize the factthat details of this method may be varied indefinitely. Some operatorsemploy silk throughout; some kangaroo tendon; some silver or copperwire; the main principles are Fig. I IN. — IlaLsteds operation. Mattrf.^s suture in eli -f eanal (Kelly). In some large hernise of long standing the conjoined tendon ma} beso thin or nearly obliterated that it cannot be employed. In suchcases Bloodgood ^ recommends ma
The practice of surgery . - a button-holestitch of catgut for the external oblique, and close in the skin woundwith a running hoi-se-hair stitch. Eveiy student will recognize the factthat details of this method may be varied indefinitely. Some operatorsemploy silk throughout; some kangaroo tendon; some silver or copperwire; the main principles are Fig. I IN. — IlaLsteds operation. Mattrf.^s suture in eli -f eanal (Kelly). In some large hernise of long standing the conjoined tendon ma} beso thin or nearly obliterated that it cannot be employed. In suchcases Bloodgood ^ recommends making use of the edge of the rectusinstead of the conjoined tendon. The rectus sheath is exposed anddivided in front of the nmscle, in the direction of the muscle-fibers,upward from the pubic insertion. The muscle bulges from the cut andis caught with silk sutures. Deep stitches are then introduced, joiningthe rectus to Pouparts ligament. I have found this operation satis-factory in a number of difficult cases. Direct Inguinal Hernia.—As Davis points out, direct hemiae are 1 Joseph C. Bloodgood, Johns Hopkins Hosp. Bull., 1896, vol. vii2G. G. Davis, Ann. Surg., Januarj, 1906. INGUINAL HERNIA 211 usually seen in one of two forms. One form pushes its way through theconjoiiKMl tendon and comes out at the external rins;. This hernia is
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
