. Manual of operative surgery. FiG. 765.—WuUsteins operation for ventral hernia. tents as described in Step 3 of the classical operation (page 617). Remove theskin and fat included between the primary incision. Complete the operation bythe Mayo method. Congenital eventration or evisceration is an extremely fatal deformity. Thedifficulty in replacing the viscera is due to the fact that the usual infantilepot belly is absent, the recti muscles pass straight down from costal margin topubis; the intestines, though distended with meconium, not having pushedthem forwards in the usual fashion. Charle
. Manual of operative surgery. FiG. 765.—WuUsteins operation for ventral hernia. tents as described in Step 3 of the classical operation (page 617). Remove theskin and fat included between the primary incision. Complete the operation bythe Mayo method. Congenital eventration or evisceration is an extremely fatal deformity. Thedifficulty in replacing the viscera is due to the fact that the usual infantilepot belly is absent, the recti muscles pass straight down from costal margin topubis; the intestines, though distended with meconium, not having pushedthem forwards in the usual fashion. Charles G. Mixter has operated (personal communication) as follows: Ifthe prolapsed viscera are covered with peritoneum excise this but leave a marginof peritoneum 3^ inch wide around the opening at the umbilicus. Enlarge thehernial opening by a transverse incision on each side. Lift up the lower marginof the wound so as to expose the peritoneal surface of the lower anterior abdomi-nal wall. Working from the inside of the abdomen
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