Abstract
This operation consists in making an incision, about 2 inches long, parallel with Poupart's ligament. The end of the incision should be about one inch above the usual location of the internal ring. The fascia of the external oblique muscle is divided in line of its fibers. The arching fibers of the internal oblique are separated and retracted. The fascia of the transversalis, together with the peritoneum, is opened. If adhesions are encountered they can be broken up by traction and blunt dissection with the finger within the sac. The internal ring, including the neck of the sac, is caught up with an Allison tissue forceps or a hemostat and pulled up to the incision, where a purse-string suture of No. 3 plain [ill]atgut, on a needle, is passed around the circumference of the ring, engaging the fascia of the transversalis except at the junction of the inner and lower
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