RADICAL CURE OF INGUINAL HERNIA

John O'Conor
1902 The Lancet  
So much has already been written on the subject of the 1 radical cure of inguinal hernia that I feel a little diffidence in T publishing some conclusions derived from 350 operations, ( 140 of which were performed by Halsted's, 120 by Kocher's, 1 and 90 by Bassini's and other methods. As elsewhere stated 1 j I had to abandon Halsted's operation owing to the too frequent ( supervention of orchitis, with consequent atrophy of the testis, 1 which I attributed in part to removal of veins
more » ... f veins irrespective of ] varicocele-vessels which presumably have some functional reason for existence. I considered, also, transplantation of the cord from its normal conduit to be very questionable surgery, in that no one can determine the amount of pressure which may arise from subsequent cicatricial contraction, not to mention the immediate possibility of backflow from injudicious suturing. The cord naturally passes out of the abdomen through the internal ring, which is anatomically so constructed that no undue pressure can be exercised on its contents, yet we find ourselves performing operations by the
doi:10.1016/s0140-6736(01)85344-7 fatcat:memlrjfl3vcx7d6vjr5sxf3htu