My purpose in this paper is to show that absorbable sutures of catgut in the repair of any type of hernia do not give the permanent results afforded by unabsorbable sutures. It is not my object to go into details covering the history, the diagnosis or the generally accepted methods of surgically treating femoral hernia. The only point to bring out is the technic of the adaptation of living fascia to the closure of femoral hernia. I presume that fascial suture has already been used by many surgeons in the repair of femoral hernia, but I can find no illustrated technic in the literature to cover the use of living fascial sutures and therefore present certain minor details which have proved in my hands more satisfactory than any method hitherto employed.
The fundamental principle is that the autogenous fascial suture is a living tissue, which is never absorbed and under
PAYNE RL. FEMORAL HERNIAOPERATIVE REPAIR BY LIVING FASCIAL SUTURES. JAMA. 1935;104(4):276–279. doi:10.1001/jama.1935.02760040008002