The practice of surgery . Fig. 124.—Mayos operation, showing the transverse elliptic incisions and exposureof the neck of the sac (W. J. Mayo). obvious that such an operation will endanger life. Until recent j^earsthe radical cure of umbilical hernia was unsatisfactory^, for the methodused was that of stitching together the two recti muscles. Muscles are 218 THE ABDOMEN weak barriers. In these cases the recti are worn-out, flabby structures,which permit the hernia to relapse. Aponeuroses are needed for thework. Moreover, the great ring in these cases is almond shaped, withits greatest diameter
The practice of surgery . Fig. 124.—Mayos operation, showing the transverse elliptic incisions and exposureof the neck of the sac (W. J. Mayo). obvious that such an operation will endanger life. Until recent j^earsthe radical cure of umbilical hernia was unsatisfactory^, for the methodused was that of stitching together the two recti muscles. Muscles are 218 THE ABDOMEN weak barriers. In these cases the recti are worn-out, flabby structures,which permit the hernia to relapse. Aponeuroses are needed for thework. Moreover, the great ring in these cases is almond shaped, withits greatest diameter from side to side. A satisfactory operation con-sists in drawing these aponeuroses together and overlapping them fromabove downward. Make transverse crescentic incisions about the. Fig. 125.—Three mattress sutures introduced CW. J. Mayo). hernia and expose the base of the sac; then clear thoroughly by gauzedissection the aponeuroses for two or three inches around the neck ofthe sac. Cut away the fibrous and peritoneal coverings of the hernia,return viscera to the abdomen, and cut away redundant the ring transversely for one or two inches at either lateral end ofthe hernial ring, and strip back the parietal peritoneum for an inch or
Size: 2321px × 1077px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
