180 



AXnrAL C-VRTRAT)OiV 



water. With a hooked knife make an oblique incision an inch to an inch 

 and a lialf long, beginning liigli in the flank, one to two inches posterior 

 to the last rib. This incision should run downward and backward at an 

 angle of 45 degrees (see 0, Fig. 168). The incision should penetrate the 

 skin, subcutaneous connective tissue, fat and external and internal oblique 

 abdominal muscles. By this we mean all tissues down to the peritoneum — 

 the lining of the abdominal cavity. The peritoneum is then carefullj^ 

 punctured with the point of the knife, after which stretch or tear the 



Fig. 173 — Belly incision. 



incision sufficiently to admit the index finger of the left hand. With this 

 finger inside of the abdomen the left (upper) ovary is located by passing 

 the finger backward near the fundus of the bladder and upward toward 

 the vertebral column. The ovary can be readily distinguished from the 

 other intra-abdominal viscera bj^ its peculiar feel, as it consists of hard 

 lobules arranged in cluster form resembling small grapes. The left ovary 

 and its accompanying fallopian tribe are drawn through the incision. In 



