. Gynecology : . \^.;. Fig. 345;—Alexander-Adams Operation for round ligaments have been cut and freed, and are being drawn upward by traction peritoneum has been opened on both sides. The position and condition of the uterus is beingexplored by the two forefingers. In closing the wound the danger of postoperative hernia is lessened bytreating the canal in the manner of a Bassini operation for inguinal hernia—i. e.,sewing the conjoined tendon to Pouparts ligament. The technic of the operation, as used abroad and described by Doderlein-Kronig, is as follows:

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. Gynecology : . \^.;. Fig. 345;—Alexander-Adams Operation for round ligaments have been cut and freed, and are being drawn upward by traction peritoneum has been opened on both sides. The position and condition of the uterus is beingexplored by the two forefingers. In closing the wound the danger of postoperative hernia is lessened bytreating the canal in the manner of a Bassini operation for inguinal hernia—i. e.,sewing the conjoined tendon to Pouparts ligament. The technic of the operation, as used abroad and described by Doderlein-Kronig, is as follows: A 3-inch incision is made parallel to Pouparts ligament as in the operationfor inguinal hernia. The incision through skin, fat, and superficial fascia iscarried down to the white glistening fascia of the external oblique muscle. Theexternal inguinal ring is exposed, easily recognizable by the divergence of thefascial fibers and by its relation to the pubic spine. The fibers of the external 44 690 GYNECOLOGY oblique are spl

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