Operative surgery : Volulme 1[The General Considerations; Agents for the Control of Hemorrhage; The Treatment of Operation-Wounds; The Ligature of Arteries; Ope rations On Veins, Capillaries, Etc.; Operations on the Nervous System; Operations on Tendons, Ligaments, Fascias, Muscles, and Bursae; Operations on Bones; Amputations; Amputation at the Lower Extremity; Deformities; Plastic Surgery]

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1901 Excerpt: ... the internal oblique and transversalis muscles as to narrow the inguinal canal and fortify it in front when tied. The Modification.--Carry the sac outward and upward--instead of downward on the aponeurosis--toward the anterior iliac spine, and sew it to the Fig. 1142.--Operation for the radical cure of inguinal hernia, Bloodgood's modification of Halsted's method. Cord removed so as not to obscure demonstration, a, a. Divided borders of internal oblique muscle. b, b.' Ends of resected cord. aponeurosis of the external oblique, and thus draw the peritonaeum still further outward, and make it impossible for a hernia to escape along the course of the cord (Ko The Remarks.--This method is applicable to those cases in which the sac is not too large nor too thick to lead to impairment of the strength of the anterior wall of the canal. In the instances of incomplete herniae it is Fio. 1143.--Operation for the radical euro of inguinal hernia, Bloodgood's modification of Halstcd's method. The transplanted border of the rectus united to Poupart's ligament, showing slight change in the direction of its fibers. better to employ another method of practice. During the passage of the final sutures directed to narrowing the canal careful attention is necessary to avoid puncture and perhaps inclusion of the cord. The Results.--In 111 operations no death ensued; recurrence happened in J5.G per cent of the cases within from six months to two years and upward. Macewen's Method (Inguinal Hernia).--Macewen's operation for radical cure of hernia is one of the best of the earlier methods practiced, and before the advent of the more modern methods it was regarded more highly in this country than any other plan of procedure. After exposure of the inguinal canal and internal ring th...