. Gynecology : . Fig. 433.—Pulley Stitch. Used for reduplicating the fascia and approximating the bellies of the muscles in operations for hernia and diastasis of the V(.£ Graves Fig. 434.—Operation for Diastasis of the Rectus Muscles (Authors Method).Introduction of the pulley stitches through the fascia at the borders of the rectus muscles. Twofingers of the left hand are inserted in the abdominal wound to guide the direction of the sutures andto avoid injuring underlying intestine. The sutures should not be carried through the entire include only the fascia and part of the
. Gynecology : . Fig. 433.—Pulley Stitch. Used for reduplicating the fascia and approximating the bellies of the muscles in operations for hernia and diastasis of the V(.£ Graves Fig. 434.—Operation for Diastasis of the Rectus Muscles (Authors Method).Introduction of the pulley stitches through the fascia at the borders of the rectus muscles. Twofingers of the left hand are inserted in the abdominal wound to guide the direction of the sutures andto avoid injuring underlying intestine. The sutures should not be carried through the entire include only the fascia and part of the muscular tissue. requisite to unite the muscles. If the tension is very great, it is best to use aNo. 7 braided silk doubled or strong linen. If the tension is moderate, No. 2 774 GYNECOLOGY chromicized catgut doubled may suffice. The object in doubling the suture is toavoid cutting through the tissues. The approximation pulley stitches are placed about ^ or f inch apart, downto the upper end of the primary incision, or, if the incision is a very long one, toabout 2\ inches below the umbilicus.
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