Operative surgery . dunder and well up and through the upper flap and tied, thus bringing border orEUATlUNS U\ VISCKKA CONNECTED WITH 925 e, f of the lower ihip to the dotted line f, /, as noted in Fig. 1144. Theborder r, (/ of tiie iii)])cr Ihip is brouglit down by similar sutures and fastenedto Pouparts ligament, c, d. The liesults.—Championniere himself reports that of 050 cases but 4died from the operation, and, as far as could be ascertained, 22 relapseshad occurred. Kochers Method {Inguinal Hernia).—Make an incision a fingers breadthabove, parallel with, and corresponding to
Operative surgery . dunder and well up and through the upper flap and tied, thus bringing border orEUATlUNS U\ VISCKKA CONNECTED WITH 925 e, f of the lower ihip to the dotted line f, /, as noted in Fig. 1144. Theborder r, (/ of tiie iii)])cr Ihip is brouglit down by similar sutures and fastenedto Pouparts ligament, c, d. The liesults.—Championniere himself reports that of 050 cases but 4died from the operation, and, as far as could be ascertained, 22 relapseshad occurred. Kochers Method {Inguinal Hernia).—Make an incision a fingers breadthabove, parallel with, and corresponding to the inner two thirds of Poupartsligament, down to the aponeurosis of the external oblique; expose the apo-neurosis along the line of incision ; expose the hernial sac at the externalring (Fig. 1145) by extension downward of the primary incision, and carefuldivision of the several tissues lying above it; isolate the sac at this situationin the usual manner from the structures of the cord, and carefully se2)arate. 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
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