The Fascial Flap Operation for Inguinal Hernia

, e outer side, the outer edge of the conjoint tendon on the mesial side, and the pubic one below. The transversalis fascia is bulged through this space, and even when the yide-mouthed sac has been ligatured and removed, it is impossible to suture the conJoint tendon to the inner part of the inguinal ligament in such a way as to form a strong oor to this part of the inguinal canal; for there is an actual deficiency in the floor of ne inguinal canal which must be permanently closed. A simple and satisfactory way ?, doing this is to use a flap derived from the internal oblique layer of the rectus . tleath. The external oblique aponeurosis is lifted up, and can be separated from the internal layer without difficulty. A semi-circular flap is cut and turned over from above