THE TRANSVERSE INCISION AND ABDOMINAL FASCIA

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Abstract
In approaching the bladder from above, the usual incision to lay bare this organ penetrates the skin, its subjacent fascia, the intramuscular septum, or more often the sheath and fibers of one of the recti muscles, and the cellular structures overlying the bladder and anatomically directly in contact with it. The idea is primarily to cut so that we shall come directly on the septum between the recti muscles, opening the sheath of neither of them. This is often difficult and if the incision is made close to the pubic bones the pyramidalis muscles interposed between the recti muscles and within their sheaths, lead to confusion. If the person is stout, or if the abdominal muscles are very well developed, it is not easy to keep the lips of the wound retracted and obtain a good exposure. In manipulations within the bladder through such a wound, one may readily break down the cellular tissues in the

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