. A new manual of surgery, civil and military. McBuRNEY Incision with Lateral Extension. This illustrates a case in which the typical McBurney incision failed to give sufficient spaceto safely remove an adherent appendix and in order to secure the desired space a secondincision was made through the internal oblique abdominal muscle, transversalis fascia and peri-toneum. A, shows deep silkworm gut suture; B, suture for peritoneum and transversalis fascia;C, aponeurosis of external oblique abdominis muscle; D, internal oblique abdominis muscle;E, suture uniting the cut ends of the internal obliq


. A new manual of surgery, civil and military. McBuRNEY Incision with Lateral Extension. This illustrates a case in which the typical McBurney incision failed to give sufficient spaceto safely remove an adherent appendix and in order to secure the desired space a secondincision was made through the internal oblique abdominal muscle, transversalis fascia and peri-toneum. A, shows deep silkworm gut suture; B, suture for peritoneum and transversalis fascia;C, aponeurosis of external oblique abdominis muscle; D, internal oblique abdominis muscle;E, suture uniting the cut ends of the internal oblique abdominis muscle. Whenever an infection approaches the surface of the appendix the latteris likely to become adherent to the surrounding tissues, and this in turn resultsin an obstruction to the lumen of the appendix by causing short bends or any given time this obstruction may become so complete that nothing willdrain into the intestine, and then there is grave danger of gangrene of theorgan from pressure as well as from interfer


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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery