The operation for the radical cure of hernia consists in the treatment of the viscera, peritoneal sac, the opening in the abdominal wall, and the incision of the skin.
Marcy's operation differs very materially from all others in three important respects, viz: the manner of suturing the rings with a perineal needle, taking a shoemaker's stitch; the suture material, kangaroo tendon, a non-irritating, easily made aseptic material which is very strong and capable of resisting absorption and softening for a very long time, sufficiently long for the complete metamorphosis of a plastic exudation into firm connective tissue; the restoration of the obliquity of the inguinal canal by a free dissection of the canal, the elevation of the cord, and the tight closure of the internal ring below it, the dropping of the cord, and the reformation of the canal by drawing together the tissues from either side over the cord
TUTTLE AH. A STUDY OF THE RADICAL CURE OF HERNIA BY MARCY'S METHOD.WITH A REPORT OF EIGHT CASES INCLUDING OPERATIONS. Read before the Gynecological Society of Boston.. JAMA. 1893;XXI(8):261-263. doi:10.1001/jama.1893.02420600011001b