. with sterilised strong silk, the skin heing afterwards brought together with silk sutures after removal of the sac itself. A surgical dressing can then be applied to the umbilicus. The patients should be carefully dieted. When the hernial ring is large and its lips widely dilated, the silk sutures, even when supported by secondary sutures, sometimes cut through the tissues and do not achieve the desired result. Degive's method (see "Moller and Dollar's Eegional Surgery," p. 304) can then be employed. The hernial sac is opened under anti- septic precautions, in order to break down a
. with sterilised strong silk, the skin heing afterwards brought together with silk sutures after removal of the sac itself. A surgical dressing can then be applied to the umbilicus. The patients should be carefully dieted. When the hernial ring is large and its lips widely dilated, the silk sutures, even when supported by secondary sutures, sometimes cut through the tissues and do not achieve the desired result. Degive's method (see "Moller and Dollar's Eegional Surgery," p. 304) can then be employed. The hernial sac is opened under anti- septic precautions, in order to break down any existing adhesions, and the skin and edges of the hernial ring are transfixed with packing needles about 8 inches long. Above these is adjusted a clam, which is closed, by means of a screw and firmly secured. The packing needles are then replaced with horse-shoe nails, the points of which are bent round. In about a week the ne- crotic tissue falls away, and recovery occurs even in severe cases in which previous treatment had failed. Fig. 2.
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectveterin, bookyear1920
