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Having made a sufficient opening to admit my finger into the abdomen, I passed it between the intestines to the spine, and felt the aorta greatly enlarged, and beating with excessive force. By means of my finger nail, I scratched through the peritoneum on the left side of the aorta, and then gradually passed my finger between the aorta and the spine, and again penetrated the peritoneum, on the right side of the aorta. I had now my finger under the artery, and by its side I conveyed the blunt aneurismal needle, armed with a single ligature behind it.