Modern surgery, general and operative . Fig. 861.—Gibsons indsion for operations onthe lower ureter. The edge of the rectus muscleis strongly retracted inward; between it and thecut edge of the transversalis fascia the peritoneumis exposed (C. L. Gibson). Fig. S62.—Gibsons incision for operationson the lower ureter. The peritoneum has beenpushed upward. The ureter is hfted out of thepelvis and brought to the level of the externalwound (C. L. Gibson). turbed at all. With efi&cient retraction of the upper flap the external borderof the rectus muscle is identified (Fig. S60) and the fascia of the

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Modern surgery, general and operative . Fig. 861.—Gibsons indsion for operations onthe lower ureter. The edge of the rectus muscleis strongly retracted inward; between it and thecut edge of the transversalis fascia the peritoneumis exposed (C. L. Gibson). Fig. S62.—Gibsons incision for operationson the lower ureter. The peritoneum has beenpushed upward. The ureter is hfted out of thepelvis and brought to the level of the externalwound (C. L. Gibson). turbed at all. With efi&cient retraction of the upper flap the external borderof the rectus muscle is identified (Fig. S60) and the fascia of the
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Image ID: 2AKKEW0
Modern surgery, general and operative . Fig. 861.—Gibsons indsion for operations onthe lower ureter. The edge of the rectus muscleis strongly retracted inward; between it and thecut edge of the transversalis fascia the peritoneumis exposed (C. L. Gibson). Fig. S62.—Gibsons incision for operationson the lower ureter. The peritoneum has beenpushed upward. The ureter is hfted out of thepelvis and brought to the level of the externalwound (C. L. Gibson). turbed at all. With efi&cient retraction of the upper flap the external borderof the rectus muscle is identified (Fig. S60) and the fascia of the transversalisis now di\ided by a vertical incision close to and parallel to the rectus—that is,at right angles to the original incision. Two retractors are now inserted, theouter one retracts the cut edge of the transversalis outward, the other (Fig.861) pulls the rectus muscle well tow^ard the midline. A generous spaceis thus obtained, situated well toward the midline (the low^er part of theureter is practically in the midl