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March 17, 1928


Author Affiliations

From the St. Lukes Hospital.

JAMA. 1928;90(11):847. doi:10.1001/jama.1928.92690380003012b

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After witnessing numerous operations for the repair of inguinal hernias by the autoplastic method of Dr. L. L. McArthur, and after seeing the need of a more efficient means of fasciai suturing, I designed the needle here described.

The shape of the needle may be either half curved, as shown in the accompanying illustration, or full curved if desirable. The needle is a bivalved hollow cylinder which opens and contains three rows of teeth. The end of the fascial suture, cut close to the muscle origin, is placed therein. The cylinder is closed and then locked by means of a locking hinge joint. This locking is accomplished through the medium of a square pin fixed in the body of the needle, which passes through a keyhole slot in the tongue of the top half of the cylinder. Thus, when the square pin is in the rounded end of the keyhole slot, the

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