Operative surgery . Bloodgood^s Modification.—Bloodgood, noting the occasional defectivestate of the conjoined tendon due to either acquired or congenital causes, OPERATIONS OX VISCERA CONNECTED WTIll 923 sought to strengthen tluit part of the iinatoiny by of aportion of the rectus muscle, wliich is clone in the following manner:Before inseiting the deep sutures for closure of the canal draw upward andinward the aponeurosis of the external and internal oblique muscles, thusexposing the sheath of the rectus muscle; divide the sheath at the outerborder of the muscle
Operative surgery . Bloodgood^s Modification.—Bloodgood, noting the occasional defectivestate of the conjoined tendon due to either acquired or congenital causes, OPERATIONS OX VISCERA CONNECTED WTIll 923 sought to strengthen tluit part of the iinatoiny by of aportion of the rectus muscle, wliich is clone in the following manner:Before inseiting the deep sutures for closure of the canal draw upward andinward the aponeurosis of the external and internal oblique muscles, thusexposing the sheath of the rectus muscle; divide the sheath at the outerborder of the muscle from below upward for about two inches; pass throughthe bulging border of the muscle two or three large black silk tractionsutures, and draw the border outward and downward (Fig. 1141); pass thedeep sutures of silver wire (Fig. 1142) the same as before (in llalstedsmethod), so that they will include in proper order the sheath and fibers ofthe rectus along with the other tissues; tie the sutures, thus uniting to. Fig. 113T.—Operation for the radical cure of inguinal hernia, Halsteds method. VeinsJiiiatured and resected. Mesocord torn only at its center. Silver sutures inserted,one above and four below the cord. Pouparts ligament the border of the rectus from the symphysis to a pointcorresponding to the outer limit of the transplanted cord (Fig. 1143). 924 OPERATIVE SURGERY. Hie Remarks.—This modification, while originally supplementary toIlalsteds method, can be applied to others in which the canal is freelylaid open. The Results.—In 30 cases thus far reported not a relapse has taken now appears to be no reasonable doubt of the fact that this expedient -r— r^ I H
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