. A new manual of surgery, civil and military. Ferguson s Operation for Inguinal Hernia. out and the vessels are ligated by passing around them catgut ligatures ateach point at which they can be seen by holding up the spread omentum to thelight. Then the omentum is cut away beyond these ligatures, preserving . GENERAL SURGERY OF THE ABDOMEN 341 enougli tissue to prevent slipping. The sac is now dissected up to a pointquite within the abdominal cavity; it is then transfixed with a needle carryinga double catgut ligature and tied so as to prevent slipping. The sac is cutaway, care being taken to
. A new manual of surgery, civil and military. Ferguson s Operation for Inguinal Hernia. out and the vessels are ligated by passing around them catgut ligatures ateach point at which they can be seen by holding up the spread omentum to thelight. Then the omentum is cut away beyond these ligatures, preserving . GENERAL SURGERY OF THE ABDOMEN 341 enougli tissue to prevent slipping. The sac is now dissected up to a pointquite within the abdominal cavity; it is then transfixed with a needle carryinga double catgut ligature and tied so as to prevent slipping. The sac is cutaway, care being taken to leave enoiiy]! ti-<iii to prevent the slipping of the. Ferguson s Operation for Inguinal Hernia. With deep sutures tied uniting internal oblique abdominal and transversalis musclesand conjoined tendon to Pouparts ligament. Showing the fascia of external oblique abdominalmuscle; conjoined tendon; internal oblique abdominal muscle. The untied sutures show themethod of overlapping,—Andrews imbrication principle as applied to Fergusons operation. ligature. The stump is now retracted within the abdominal cavity by theelasticity of the peritoneum. The steps which have just been described are exceedingly important, espe-cially the careful removal of the soft tissues, the hernial sac and the omentum,because neglect of any one of these points would tend to cause a recurrence. The internal oblique muscle and transversalis fascia are now carefullyunited with interrupted sutures of chromicized catgut to the ledge upon the 342 GENERAL SURGERY OF THE ABDOMEN under surface of Pouparts ligament, the edge of the fascia of the externaloblique being caref
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
