The medical age : a semi-monthly journal of medicine and surgery . c with sac broughtthrough aponeurosis of external oblique muscle). Closing the canal by cicatrization was practised for a short time. Thisbecame known as the operation of McBurney, by whom it was prominentlyadvocated. His form of procedure was to make an incision parallel toPouparts ligament and over the inguinal canal. The sac was freed andligated very high up. The skin edges were fastened by tension sutures to themuscular layers on either side, and the wound was tamponed with iodoformgauze arranged in wedge shape and extendin


The medical age : a semi-monthly journal of medicine and surgery . c with sac broughtthrough aponeurosis of external oblique muscle). Closing the canal by cicatrization was practised for a short time. Thisbecame known as the operation of McBurney, by whom it was prominentlyadvocated. His form of procedure was to make an incision parallel toPouparts ligament and over the inguinal canal. The sac was freed andligated very high up. The skin edges were fastened by tension sutures to themuscular layers on either side, and the wound was tamponed with iodoformgauze arranged in wedge shape and extending down to the peritoneum. Thewound was then allowed to heal from the bottom by granulation, the theorybeing that the plug of scar tissue thus formed would make an effectual barrierto descent of the hernia. This practise was soon abandoned by its mostearnest advocates, for the cicatricial tissue soon yielded to the pressure fromwithin and many cases of relapse followed. None of the methods thus far described proved satisfactory, and surgeons ORIGINAL : McLEAN 675.


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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectmedicine