. Manual of operative surgery. e sac from its surrounding, pushes hisfinger through the femoral opening outside the sac and separates the parietalperitoneum from the parietes for a distance of ^ inch above the then treats the sac exactly as in his operation for inguinal hernia, makingit into an intra-abdominal pad. (See page 604.) Step 5.—Make a careful survey as to the position of Gimbernats ligament,Pouparts ligament, the plica falciformis, and the pectineal fascia. Retractthe pUca falciformis upwards and outwards. With a full curved needle intro-duce the suture a-a (Fig. 729) thr
. Manual of operative surgery. e sac from its surrounding, pushes hisfinger through the femoral opening outside the sac and separates the parietalperitoneum from the parietes for a distance of ^ inch above the then treats the sac exactly as in his operation for inguinal hernia, makingit into an intra-abdominal pad. (See page 604.) Step 5.—Make a careful survey as to the position of Gimbernats ligament,Pouparts ligament, the plica falciformis, and the pectineal fascia. Retractthe pUca falciformis upwards and outwards. With a full curved needle intro-duce the suture a-a (Fig. 729) through the inferior and posterior part of Pou-parts ligament and the pectineal fascia close to the pubic spine. About 3^ inch external to a-a introduce the suture b-b. Inthe same way the suture c is introduced andought to lie about 3^ inch internal to thefemoral vein. The sutures a, b, and c areleft for the present without being tied. Step 6.—The plica falciformis is stitched to that portion of the pectineal fascia which 1 I.
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