On the radical cure of oblique inguinal hernia by internal abdominal peritoneal pad, and the restoration of the valved form of the inguinal canal / by William Macewen.

  • Macewen, William, Sir, 1848-1924.
Date:
1886
Catalogue details

Licence: Public Domain Mark

Credit: On the radical cure of oblique inguinal hernia by internal abdominal peritoneal pad, and the restoration of the valved form of the inguinal canal / by William Macewen. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    (B). Closure of the Inguinal Canalsac having been returned into the abdomen and secured to the abdominal cir- cumference of the ring this aperture is closed outside of it in the following manner : The finger is introduced into the canal and lies between tile inner and lower borders of the internal ring. It makes out the position of the epigastric artery so as Fig. 7. The Threaded Hernia Needle Making Double Penetra- tion OF Conjoint Tendon. to avoid it. The threaded hernia needle is then introduced and guided by the index finger is made to penetrate the con- joint tendon in two places. First from without inwards near the lower border of the conjoint tendon; second, from within outwards as high as possible on the inner aspects of the canal. This double penetration of the conjoint tendon is accomplished by a single screw like turn of the instrument. (Fig. 7.) One