. Plexus. Fig- 5. Inguinal Hernia- Suture of the sac The suture penetrates the ligament from the outsideand emerges from its internal surface. The suture is nextcarried across the opening behind the cord and penetratesthe conjoined tendon at the same level one centimeter fromits edge, emerging on the peritoneal side of the conjoinedtendon. The suture is then returned through the same tissue inthe opposite direction, one centimeter below the formerperforations (Fig. G), completing one unit of the continuousbasting or sailors stitch, which, when completed, is tied inposition, with the bow-knots
. Plexus. Fig- 5. Inguinal Hernia- Suture of the sac The suture penetrates the ligament from the outsideand emerges from its internal surface. The suture is nextcarried across the opening behind the cord and penetratesthe conjoined tendon at the same level one centimeter fromits edge, emerging on the peritoneal side of the conjoinedtendon. The suture is then returned through the same tissue inthe opposite direction, one centimeter below the formerperforations (Fig. G), completing one unit of the continuousbasting or sailors stitch, which, when completed, is tied inposition, with the bow-knots on the outside of the ligamentand the free ends extending out at the angles of the wound.(Fig. 7.) This is the strong layer, and when sutured firmly takesthe tension from the other layers. The fascia of the external oblique muscle is sutured tothe edge - of Pouparts ligament over the cord with a con- 98 The Fig. 6. Inguinal hernia. Basting ealara waiting Pca$arf s V J5 .a«at to the casjoiaed tcodon Closure of Wounds 99
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