. Operative gynecology. rsalismuscles above and Pouparts ligament below. The loops of the sutures are pocketed, especially the lowerones, where the tension is greater. The round ligament is not detached more than is necessary. Sutures are then introduced in the manner to be described. If the herniasac is small there is no necessity of excising it, as the operation will be qnite aseffective without this step. The method elaborated by Halsted {Johns liopk. Hosp. BuL, vol. i, Dec, 1889 ; The Radical Cure of Hernia) and Bassini {Arch. f. Min. Chir., Bd. xl, 1890 ; Ueber die Behand. der Leistenbr.)
. Operative gynecology. rsalismuscles above and Pouparts ligament below. The loops of the sutures are pocketed, especially the lowerones, where the tension is greater. The round ligament is not detached more than is necessary. Sutures are then introduced in the manner to be described. If the herniasac is small there is no necessity of excising it, as the operation will be qnite aseffective without this step. The method elaborated by Halsted {Johns liopk. Hosp. BuL, vol. i, Dec, 1889 ; The Radical Cure of Hernia) and Bassini {Arch. f. Min. Chir., Bd. xl, 1890 ; Ueber die Behand. der Leistenbr.) for the radical cure of inguinal hernia INGUINAL HERNIA. 483 insuies the greatest number of satisfactorj resu]ts, and I shall follow this quiteclosely in my description. In the male the spermatic cord and its artery must be carefully preservedfrom injury during the operation, and so placed in a new canal as to avoid com-pression of the cord. Atrophy of the testicle only takes place when the veinsare excised or The mattress sutures have been drawn up and twisted and the subcutaneous fat and skin arc being closedover the round ligament by a subcuticular continuous suture. In women the round ligament, which takes the place of the spermatic cord, issmaller and unimportant, and may be safely transfixed by the sutures. If the round ligament is densely adherent to the sac, as is often the case instrangulated or in incarcerated hernise, I do not attempt to isolate it, but preferto excise it with the sac. Operation .—An incision is made at an angle of about 25 degrees abovePouparts ligament, and from 2 to 3 centimeters distant from it, beginning at 484 THE RADICAL CURE OF HERXIA. the spine of the pubes and extending iipward and outward beyond the internalabdominal rinof.
Size: 1509px × 1656px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
