Operative surgery . ward, so asto allow the point of the needle to project through the abdominal muscleswithout penetrating the skin (Fig. 1151). The thread is relieved from the extremity of the needle when the latteris withdrawn. The thread is pulled through the abdominal wall; and, whentraction is made upon it, the sac,wrinkling upon itself, is throwninto a series of folds, its distal ex-tremity being drawn fartliest back-ward and upward. An assistantmaintains traction upon the stitchuntil the introduction of the su-tures into the inguinal canal; and,when this is completed, the end ofthe sti
Operative surgery . ward, so asto allow the point of the needle to project through the abdominal muscleswithout penetrating the skin (Fig. 1151). The thread is relieved from the extremity of the needle when the latteris withdrawn. The thread is pulled through the abdominal wall; and, whentraction is made upon it, the sac,wrinkling upon itself, is throwninto a series of folds, its distal ex-tremity being drawn fartliest back-ward and upward. An assistantmaintains traction upon the stitchuntil the introduction of the su-tures into the inguinal canal; and,when this is completed, the end ofthe stitch is secured by introducingits free extremity several timesthrough the superficial layers of theexternal oblique muscles. A padof peritonaeum is thus placed uponthe abdominal side of the internalopening, where, owing to the ab-dominal aspect of the circumfer-ence of the internal ring havingbeen refreshed, new adhesions mayform. B. ClosureCanal.—The sacturned into the of the Inguinalhaving been re-abdomen and se-. FiG. 1144.—Operation for the radical cure ofinguinal hernia, Lucas-Chanipionnieresmethod. cured to the abdominal circumfer-ence of the ring, this aperture isclosed in front of it in the follow-ing manner: The finger is introduced into tlie canal, and lies between theinner and lower borders of the internal ring, in front of and above the makes out the position of the epigastric artery so as to avoid it. The 930 OPERATIVE SURGERY. single RS ^
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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
