Annals of surgery . is method of radical cure inhernia. It does not appear to be open to the same objec-tions as catgut, inasmuch as it will last sufficiently long, pro-viding suppuration does not take place in the wound, to in-sure firm union of the structures before its final disintegrationtakes place. In some instances the tendon seems to serve asthe basis for a definitely organized and firm connective tissueproliferation, which replaces the tendon and aids most effi-ciently in the final consolidation of the parts originally con-cerned in the suturing.^ The canal sutures include the conjoin
Annals of surgery . is method of radical cure inhernia. It does not appear to be open to the same objec-tions as catgut, inasmuch as it will last sufficiently long, pro-viding suppuration does not take place in the wound, to in-sure firm union of the structures before its final disintegrationtakes place. In some instances the tendon seems to serve asthe basis for a definitely organized and firm connective tissueproliferation, which replaces the tendon and aids most effi-ciently in the final consolidation of the parts originally con-cerned in the suturing.^ The canal sutures include the conjoined tendon andaponeurosis of the external oblique upon the inner margin,and Pouparts ligament upon the outer. The two lowersutures should include the outer edge of the pyramidalis, ifthis be present, and if not, the rectus muscle. The effect ofthis is to displace a portion of the muscular tissue to a situa-tion to guard the point of exit of the spermatic cord. Acontinuous suture is now applied to secure more accurate. Fig, 7.—Posterior wall of inguinal canal restored.
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
