Wisconsin medical recorder . uture of similar operator- have written elaboratedescriptions of all the details of theanatomy of the femoral regionthen have described methods of com-pleting the operation in an elaborateand painstaking manner. Should astrangulated femoral hernia exist, thesurgeon will cur directly down uponthe hernial protusion dividing thevarious layers of the covering irre-spective of their name. Be will thenovercome the constriction by as littlecutting as possible upward and for-ward and reduce the contents of thehernia, in the event of the absence ofgangrene. II
Wisconsin medical recorder . uture of similar operator- have written elaboratedescriptions of all the details of theanatomy of the femoral regionthen have described methods of com-pleting the operation in an elaborateand painstaking manner. Should astrangulated femoral hernia exist, thesurgeon will cur directly down uponthe hernial protusion dividing thevarious layers of the covering irre-spective of their name. Be will thenovercome the constriction by as littlecutting as possible upward and for-ward and reduce the contents of thehernia, in the event of the absence ofgangrene. II«- will now be in a pi ion 1 dissecl out the Bac, this isin all instances accomplished by a bluntdissection. The sac is tied off and theoperator is ready to close his the sac of the hernia be empty,the operator will find the sac. Thesaphenous opening will be a guide insuch a case as well as the previous lo-cal ion of the tumor. When he has en-tered the sac he will in such a case be WISCONSIN MEDICAL RECORDER 53. FIGURE I Fig. 1 illustrates the type of skin incision to be preferred in this operation forthe relief of femoral hernia. The incision along ligament is simply madethrough the skin in the beginning of the operation. Then a careful dissection is madealong the thigh separating the cellular tissue gently and carefully over and aboutthe saphenous opening. The apparent free access thus gained to the deeper partsis of decided help to the surgeon in his earlier operations tending to prevent con-fusion. 54 MEDICAL RECORDER
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