Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . gh the they have been tied, the incision is carried clown transversely throughthe bellies of the recti and through the peritoneum (Fig. 1184). Thesesutures prevent retraction of the muscle, and make later suturing easy. The transverse incision may always be modified to suit other above-described division of the recti may be used to involve only one THE ABDOMEN 509 rectus muscle. It may be modified by continuing another incision upwar
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . gh the they have been tied, the incision is carried clown transversely throughthe bellies of the recti and through the peritoneum (Fig. 1184). Thesesutures prevent retraction of the muscle, and make later suturing easy. The transverse incision may always be modified to suit other above-described division of the recti may be used to involve only one THE ABDOMEN 509 rectus muscle. It may be modified by continuing another incision upward,downward, or obliquely from either of its extremities. If the rectus muscle has been divided, it is easily sutured with chromi-cized catgut. A continuous suture is used to unite the peritoneum andtransversalis fascia. A second continuous suture unites the divided muscleand catches the anterior sheath. The skin and superficial fascia are unitedas usual. Such an incision as this does not damage the nerve supply, itgives remarkably free access, and when the wound is properly closed iscapable of restoring a firm abdominal Fig. i i84.—Transverse Abdominal Incision. The rectus, having been fastened to its sheath by two rows of sutures, is divided after method of W. Meyer. The incision passes through the peritoneum. The neatest incision for hiding the scar is 10 or 13 cm. (4 or 5 inches) long,curved with its convexity downward, all within the pubic hair area. Thisincision is made in such a way that the edge of the skin flap is very thin,little more than a skin graft for a width of 1 or 2 cm. (^ or % inch). Bypassing obliquely through the superficial fascia, the anterior sheath of themuscles is exposed to 5 cm. (1 or 2 inches) above the pubes. The super-ficial fascia is dissected upward and retracted. The fascia in front of therecti is divided transverselv. From the ends of this latter incision, incisions 510 SURGICAL TREATMENT are carried upward and outward between the
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
