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a median longitudinal or a Pfannenstiel incision with the patient in the Trendelenburg position. After packing the intestines wyell out of the way an incision is made through the peritoneum along the course of the tendon of the psoas parvus, which is readily seen as a distinct white band lying on the psoas magnus. The tendon is followed downward and divided at its point of insertion into the pectineal eminence. Running along almost parallel with the tendon, butdoi:10.1001/jama.1910.92550460001001i fatcat:llljhbiy7zegbdlanvqmhlt7ee