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Abdominal Hernia: (English)

Abdominal Hernia: (English)

          
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About the Book

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. 1907 Excerpt: ... vessels on the neck of the sac and their subsequent ligation. As the sac is tied, the operator should make traction on it so as to draw its neck well up into the wound. When it is tied and cut, it will retract and the peritoneal surface will Income smooth upon its inner surface at the site of the internal ring. The canal should be cleared of all loose fat or other abnormal tissue, and the operator is then ready to begin its closure, and upon the thoroughness and care with which this is done will depend to a very great extent the permanence of the cure. With the canal wide open and freed from the sac, it will be seen that there is a triangular space back of the cord, which is entirely unprotected by muscular or tendinous structure. In fact, there is usually nothing but peritoneum and its overlying fascia. This triangle, with its apex directed towards the iliac crest, is formed above by the lower border of the internal oblique muscle, below by Poupart's ligament, and the pubic bone forms its base. This muscular defect is overcome (in this operation) by freeing the lower part of the internal oblique and transversalis muscles from their connections above and below, slipping them down and stitching their lower border to Poupart's ligament. Fig. no. Blunt needle (actual size) used in placing kangaroo tendon sutures in the deep muscular tissue and the aponeurosis of external oblique. The connective tissue between the aponeurosis of the external oblique and the internal oblique has been separated in the earlier part of operation. The internal oblique and transversalis should now be freed from their deep connections by gently passing the finger along under their lower border. When the deep muscles are thus freed above and below, their lower border can be brought in...


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Product Details
  • ISBN-13: 9781231322147
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 96
  • Series Title: English
  • Weight: 186 gr
  • ISBN-10: 1231322144
  • Publisher Date: 01 May 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Spine Width: 5 mm
  • Width: 189 mm


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