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Excerpt from Operation for Strangulated Inguinal Hernia This incision, through the skin and cellular membrane, divides the external pudenda] artery, which always crosses the sac and spermatic cord near the ring. The bleeding may be stopped by an assistant's finger, or by ligature. The inci sion exposes the fascia from the external oblique muscle, which forms the first and thickest cov ering of the sac. The middle of this fascia is next cut through; and a director, introduced be neath it, is carried upward (toward the head) to within an inch of the ring, and the fascia divided upon it; turning the director downwards, a similar division of the fascia is made to the bottom of the tumour. This opening exposes the second cover ing of the sac, viz. The cremaster muscle, which must be divided upward and downward, as the fas cia. To surgeons not accurately acquainted with the anatomy of the part, these layers cause great embarrassment and delay; the operator, expect ing to see the sac as soon as he has divided the integuments, cuts the fascia with extreme cau tion, fibre after fibre, from fear of injuring the intestine, mistaking this thickened covering and the cremaster for the sac. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.