File:British medical journal (1917) (14758620836).jpg

Identifier: 1917britishmedic02brit (find matches)
Title: British medical journal
Year: 1857 (1850s)
Authors: British Medical Association
Subjects: Medicine Medicine
Publisher: London British Medical Association
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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vantages of this operation as a treat-ment in the hernia of children will be apparent. Theprinciples borne in mind are to remove the sac at thehighest possible level with the minimum disturbance oftissue. The cutting and interference with tissues hagbeen reduced to such a degree that verj rapid convales-cence follows, and tbe reaction associated with herniaoperation is obviated. The advantages of an operationwhich reduces the cutting of tissues down to an inchincision in the skin and superficial fascia, and a smallincision in the spermatic fascia, will be apparent. Nodissection of tissues is undertaken; just as Matas in hisoperation for aneurysm avoided injury and disturbance ofsurrounding structures by attacking an aneurjsni fromwithin the sac, we avoid dissecting, cutting, or injuring thedelicate or important structures which surround a hernialsac by attacking the hernia from within the sac. OCT. 27, igi7) THE CURE OF INGUINAL HERNIA, r „ Tirc Bam™ - . „ L UeoicAj. Jouatuz 549
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Fig 6. , !!■ l-~An Inci&ion about an inch in length has been mane,bnlf (in inch above Pouiiarks lioauieut, ever the femoral point,iiie Ijbrcs ot Ihe cxleriml oblique aponeurosis havo been bpUl fora fchorL distance. Fig. 2—The edees of the aperture in the external oblique havoDeou retracted by l\w lorceps, a, exposing tlie coverings of the6permatic cord. The forceps, b, have been placed upon theaperture la the creraister, which has been made bv inserting tlia.Closed points pt Majos scissor.s and op.iiinsi Ihe blades. Thesperniatic fascia is exposed in the depth of the wound. Fro. 3.—.\fler incising the spermatic fascia the sac has beenloiind and drawn out of the wound. The forceps, a, remain on theexternal oblique during the whole oDeratioa. Fig. 7. Fia. 4.—The sac has Ijeen opened and its aperture retracted b»lorceps, after having been enlargfd by sniiiping tbe edges betweenuie lorceps. Two apertures are displayed divided by a process ofPcntoneum. The aperture A leads int

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