. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. bling of young children it is best to put on a fixed dressing with collodion. The imbrication or overflapping method of E. Wyllys Andrews isnow most generally adopted by Western surgeons, in the radical cure ofhernias. Posterior imbrication appeals to those who prefer the Bassinimethod, whereas the anterior imbrication is adopted by those whoobject to transplanting the cord. In scrotal hernias the sacshould be r
. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. bling of young children it is best to put on a fixed dressing with collodion. The imbrication or overflapping method of E. Wyllys Andrews isnow most generally adopted by Western surgeons, in the radical cure ofhernias. Posterior imbrication appeals to those who prefer the Bassinimethod, whereas the anterior imbrication is adopted by those whoobject to transplanting the cord. In scrotal hernias the sacshould be removed if easily separable, if not, cut off the part in the canaland return the scrotal part to the scrotum. If this is done a gauzeor Mikulicz drain should be inserted through and out the lower part17 258 POSTOPERATIVE TREATMENT. of scrotum, or if preferred Eisendraths method of evertion as inoperations for hydrocele may be employed. Otherwise postoperativehydrocele requiring subsequent tapping, or other complications retardingrecovery may ensue. If after ligation the peritoneal stump lies visiblein the ring, it is too long and will form a funnel or dimple and tend to. External oblique aponeurosis. Internal ob-lique muscle. Neck of sac. Internal ob-lique muscle. Rectus. Spermatic cord. Fig. 75.—Showing Russells Method of Suture of Rectus Muscle to PoupartsLigament Before Bringing Down and Suturing the Internal Oblique. bring on another protrusion. If stump does not disappear removemore of it. Skin Closure.—After very thorough hemostasis, sew the skin with atrocar-pointed needle. The following form of buttonhole continuoussuture will please those who have not seen it. After the first knot, thrust the needle through both flaps about 1cm. from their edges. With the skin thus transfixed, wind the slack LAPAROTOMY AND OPERATIONS UPON THE ABDOMEN. 259 of the thread twice around the point, instead of once, as in the ordinarylock-stitch. Then draw it up until it is just tight betw
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