. The anatomy and surgical treatment of hernia. pon, with light rubber sheet-ing. Over all place towels wrung from a i-i,ooomercuric bichloride solution. Maintain strict asepsis during the operation withthe same care as in laparotomy for any purpose. Conduct the stages of the operation under irri-gation with a mercuric solution, 1-2,000, until thelast stitch has been taken. Under exceptional conditions the bleeding maybe stopped, and the wound maintained dry duringthe entire operation. With the use of irrigation often not a singlesponge is required, and every part of the wound isclearly within
. The anatomy and surgical treatment of hernia. pon, with light rubber sheet-ing. Over all place towels wrung from a i-i,ooomercuric bichloride solution. Maintain strict asepsis during the operation withthe same care as in laparotomy for any purpose. Conduct the stages of the operation under irri-gation with a mercuric solution, 1-2,000, until thelast stitch has been taken. Under exceptional conditions the bleeding maybe stopped, and the wound maintained dry duringthe entire operation. With the use of irrigation often not a singlesponge is required, and every part of the wound isclearly within the field of vision during the entireoperation. The Sac.—-The peritoneal sac of the hernia should usually be opened and dissectedfree quite within the internal ring—i. e., all the adhesions which the peritonaeum hasformed to the ring should be separated. Tension is then made upon the sac, which issutured at its base and resected. The tension should be such that when the sac is re-sected the sutured base will retract quite within the Fig. 37.—a, normal internal ring; b,enlarged internal ring; c. unclosedtriangle ; d, abdominal wall; h, her-nial sac ; p. peritonasum ; /, re-sected at site of internal ring; /,triangle, reformed by closure of pill-ars of the canal. Plate LX\T. r<i III.
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Keywords: ., bookcentury1800, bookdecade1890, booksubjecthernia, bookyear1892
