. Plexus. Fig. 9. Umbilical hernia. 1st suture in position. tinuous herring-bone stitch of silkworm gut, the loose endsprojecting from the angles of the wound, without beingtied. (Fig. 8.) The superficial layer is closed by the subcuticular su-ture of silkworm-gut. (Fig. 4.) UMBILICAL, VENTRAL, AND FEMORAL HERNIA. Umbilical hernia is repaired by the Mayo method modi-fied by the continueus basting stitch, tied at either end onthe fascia. (Figs. 8, 10.) The skin is sutured in the same direction to facilitateremoval of the deep sutures. Post-operative ventral hernia is repaired by overlapp-ing th

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. Plexus. Fig. 9. Umbilical hernia. 1st suture in position. tinuous herring-bone stitch of silkworm gut, the loose endsprojecting from the angles of the wound, without beingtied. (Fig. 8.) The superficial layer is closed by the subcuticular su-ture of silkworm-gut. (Fig. 4.) UMBILICAL, VENTRAL, AND FEMORAL HERNIA. Umbilical hernia is repaired by the Mayo method modi-fied by the continueus basting stitch, tied at either end onthe fascia. (Figs. 8, 10.) The skin is sutured in the same direction to facilitateremoval of the deep sutures. Post-operative ventral hernia is repaired by overlapp-ing the edges of the fascia by the tied basting-stitch. () Femoral hernia is closed by the Cushing pursestringoperation, modified by the use of a removable silkworm-gutsuture, secured by the bow-knots. (Fig. 12.) This is reinforced by a similar purse-string suture, 102 The Plsxus. attaching the falciform process to the pubic portion of thefascia

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