Operative surgery . Fig. 1139. Fig. 1140. Fig. 1139.—Operation for the radical cure of inguinal hernia, Ilalsteds method. Apo-neurosis of external oblique closed In silver-wire mattress sutures, ends bent downand buried. Fig. 1140.—Operation for the radical cure of inguinal hernia, Halsteds method. Theintroduction of the subcuticuhir continuous wire suture. Tlie suture is carefullywithdrawn after suitable union is secured. and withdraw it from the scrotum (Fig. 114G); separate the sac from thetissues above while drawing downward firmly upon it, until the part of thesac that occupied the intern
Operative surgery . Fig. 1139. Fig. 1140. Fig. 1139.—Operation for the radical cure of inguinal hernia, Ilalsteds method. Apo-neurosis of external oblique closed In silver-wire mattress sutures, ends bent downand buried. Fig. 1140.—Operation for the radical cure of inguinal hernia, Halsteds method. Theintroduction of the subcuticuhir continuous wire suture. Tlie suture is carefullywithdrawn after suitable union is secured. and withdraw it from the scrotum (Fig. 114G); separate the sac from thetissues above while drawing downward firmly upon it, until the part of thesac that occupied the internal abdominal ring is exposed ; reduce and retainin position the contents of the sac ; transfix the upper limit of the sac with aneedle armed with a strong silk ligature and tie in halves; make a small open- 926 OPERATIVE SURGERY. ing tlirough the aponeurosis above and external to Pouparts ligament (); introduce through the opening («) and push along the under surface of. Fio. 1141.—Operation foi tin cure of infrninal ISliHidfjoods inodificationof Halsleds method. S,ic o\ti-od and poritonoal cavity closed ; internal oblique mus-cle divided, rectus exposed and transplanted inward, ready for deep sutures, a, loops applied to divided borders of the internal oblique muscle, b, h. Trac-tion loops applied to borders of aponeurosis of external oblique muscle, c. Cordraised permitting passage of the border of the rectus. the aponeurosis, through the external abdominal ring, a long, curved dressingforceps (Fig. 1146); seize the fundus of the sac with the forceps and with-draw it, dragging the sac upward through the opening (Fig. 1147); drawupward and outward on the sac away from the cord, pulling the neck of thesac well into the aponeurotic incision; transfix and sew the neck of the sacto the abdominal wall; turn the sac downward on the aponeurosis along thecourse of the inguinal canal; introduce the finger into the canal to prote
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