Operative Surgery

Cover Operative Surgery
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above (for both these ligations see below) .
In an analogous manner abscesses of the internal iliac fossa can be opened extra-peritoneally by proceeding upon or beneath the internal iliac fascia ; or else we may proceed after opening the peritoneum if the vermiform appendix is to be resected, tumors of the caecum are to be removed, or if on the left side the sigmoid flexure is to be drawn out for the formation of an artificial anus or for removal in the case of neoplasm. A trans- verse incision
... from one side to the other, from the right anterior inguinal ring to the one on the opposite side, is indicated when the bladder is to be opened (compare Fig. T).
The inguinal canal is opened directly in its course when the spermatic cord is to be exposed in castration, or the round liga- ment is to be sought, or finally if the neck of a hernial sac situ- ated in the canal is to be reached (herniotomy).
126 OPERATIVE SURGERY.
Exposure of the Inguinal Canal (for herniotomy, castra- tion, varicocele operation, and Alexander's prolapsus operation).


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