Operative surgery . this. I know of but two recurrences since we liave beenusing the present method : one in the case of a very old man with a verylarge double hernia, operated on both sides with cocain ; and the other, in. Fig. 1136.—Operation for the nulical cure of inguinal hernia, TTalsteds metliod. Theexcision of veins in hernia and in varicocele. The vas deferens and its immediatevessels and the niesocord not disturbed. which there is a slight weakness in the scar, caused, we think, perhaps,by the breaking of a stitch at this point. It is only in a small propor-tion of cases that we find
Operative surgery . this. I know of but two recurrences since we liave beenusing the present method : one in the case of a very old man with a verylarge double hernia, operated on both sides with cocain ; and the other, in. Fig. 1136.—Operation for the nulical cure of inguinal hernia, TTalsteds metliod. Theexcision of veins in hernia and in varicocele. The vas deferens and its immediatevessels and the niesocord not disturbed. which there is a slight weakness in the scar, caused, we think, perhaps,by the breaking of a stitch at this point. It is only in a small propor-tion of cases that we find it necessary to transplant a portion of the rectusmuscle. 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 outer
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