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February 28, 1920


Author Affiliations

Galesburg, Ill.

JAMA. 1920;74(9):619. doi:10.1001/jama.1920.02620090049026

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To the Editor:  —I have read, with no little interest, Dr. Angwin's article (The Journal, Feb. 14, 1920, p. 437) on the subject of a modified technic in the operation for oblique inguinal hernia. Having served at the Naval Hospital at Great Lakes during Dr. Angwin's duty there, I had a chance to observe some of his methods of both herniotomy and varicocele operations, both of which vary somewhat from the classical. One of the main advantages in his technic in herniotomy, which is not emphasized in the article, is the lessening of traumatism to the cord structures. This small factor not only relieves the patient of postoperative distress, but also lessens the dangers to the veins and vas in the cord.On the other hand, the principle of anchoring the peritoneum to a structure outside the abdomen, however strong, does not appear desirable. Intra-abdominal structures resemble the caged lion,

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