. Modern surgery, general and operative. Fig. 826.—Suture of the aponeurosis of theexternal oblique (Halsted). Fig. 827.—Suture of the margin of aponeu-rosis to Pouparts ligament (Halsted). the aponeurosis of the external oblique from the arch of the pubis up to theposition of the transplanted cord (Bloodgood, in previously mentioned re-port). The first steps of the operation are identical with those previously ///. Fig. 828.—The method of transplanting Fig. 829.—The transplanted rectus^ in- the rectus muscle. The sac has been excised eluded by the deep sutures. In this illus-and the peritonea
. Modern surgery, general and operative. Fig. 826.—Suture of the aponeurosis of theexternal oblique (Halsted). Fig. 827.—Suture of the margin of aponeu-rosis to Pouparts ligament (Halsted). the aponeurosis of the external oblique from the arch of the pubis up to theposition of the transplanted cord (Bloodgood, in previously mentioned re-port). The first steps of the operation are identical with those previously ///. Fig. 828.—The method of transplanting Fig. 829.—The transplanted rectus^ in- the rectus muscle. The sac has been excised eluded by the deep sutures. In this illus-and the peritoneal cavity closed; internal ob- tration the cord has been excised in orderlique muscle has been divided, the rectus ex- to demonstrate the operation more clearlyposed and transplanted; at this stage the (Bloodgood).wound is ready for the deep sutures. Thisillustration shows how perfectly the trans-planted rectus muscle lines the lower half ofthe wound (Bloodgood). described, but before the insertion of the deep stitches the rectus sheath isexposed and divided in the direction of the muscle-fibers, from the pubic inser-tion upward for 5 cm. The muscle bulges from the cut and is caught with 1284 Diseases and Injuries of the Abdomen silk sutures (Fig. 828). Deep sutures are now introduced as in Halstedsoperation, except that they include the rectus and its sheath (Fig. 829). Theoperation is completed as is Ha
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