British medical journal . Via. 2.Insertion of first stiteli through Ciimheriiafs ligauieubaud coujoiued teuflon. A. Pouparts ligameut. n. Conjoined tendon.r>, Covtl retracted inwar<ls. E, Esterual oblique. lieruia needle further inwards through the adjoiningsheath of the rectus, so as to afford a good purchasefor the loop of the mattress suture. Finally, the two aponeurotic leaves arc united by acontinuous catgut suture, and in doing this I make it aXule to insert the point of the needle deep enough to catclihold of underljing muscle in order that no intermusculardead space may be left.

British medical journal . Via. 2.Insertion of first stiteli through Ciimheriiafs ligauieubaud coujoiued teuflon. A. Pouparts ligameut. n. Conjoined tendon.r>, Covtl retracted inwar<ls. E, Esterual oblique. lieruia needle further inwards through the adjoiningsheath of the rectus, so as to afford a good purchasefor the loop of the mattress suture. Finally, the two aponeurotic leaves arc united by acontinuous catgut suture, and in doing this I make it aXule to insert the point of the needle deep enough to catclihold of underljing muscle in order that no intermusculardead space may be left. Stock Photo
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The Reading Room / Alamy Stock Photo

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2AN4XXD

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1644 x 1520 px | 27.8 x 25.7 cm | 11 x 10.1 inches | 150dpi

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British medical journal . Via. 2.Insertion of first stiteli through Ciimheriiafs ligauieubaud coujoiued teuflon. A. Pouparts ligameut. n. Conjoined tendon.r>, Covtl retracted inwar<ls. E, Esterual oblique. lieruia needle further inwards through the adjoiningsheath of the rectus, so as to afford a good purchasefor the loop of the mattress suture. Finally, the two aponeurotic leaves arc united by acontinuous catgut suture, and in doing this I make it aXule to insert the point of the needle deep enough to catclihold of underljing muscle in order that no intermusculardead space may be left. The cord, of course, is left, as inHalsteds operation, superficial to the external oblique.. I Fig. 3.—A, PoUDirts ligament flower shelf). B, Conjoined tendon.B, Cord retracted inwards. External oblluiie—e.terual leaf, p. External obliiiue—internal leaf. I find this makes an extremely firm barrier, and isequally useful for the radical cure of oblique or directliernia. It is obvious that this operation only differs from that ofothers in the manner of introduction of deep sutures, butI am conviuccd the moditicatiou is important, in tliat itallords a simple and absolutely safe method of approxi-mating somewhat delicate tissue in a rather dangerouszone. I wish to acknowledge my indebtedness to my friendDr. K. Macfarlauc Wallier for drawings. A CASE OF.URAEMIA WITH AN INUSU.^LDEGREE OF UREA BETEXTIOX. BY H. B. DAY, M.D., M.E.C.P., PHYSICTAX, KASE EL AISI HOSPITAL, CAIRO, AKD W. H. WILSON, M.D., rKorEs.30B or rHysioLOGT. kgyptiax goverxiiest school OB SLCDICISE. I.—CUiiieal Note bij Dr. H. B. Daij. .x Egyptian firemau, aged 36, was admitted to hospitalto undergo treatment fo

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