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February 1956

A Modified Halsted Inquinal Herniotomy Aimed at Preventing Recurrence

Author Affiliations

St. Louis
From the Department of Surgery, Washington University and the Barnes Hospital.

AMA Arch Surg. 1956;72(2):351-356. doi:10.1001/archsurg.1956.01270200167029

Despite the fact that the radical treatment of inguinal hernia has been known and practiced for more than 65 years, there is a general belief that the recurrence rate is still considerable. Perhaps the most interesting evidence thereof was reported in 1920 by Taylor,1 who found in an analysis of 910 cases that whereas the average rate of recurrence was 5.6% for indirect and 18.0% for direct hernia the record for each individual surgeon varied, the highest being 28.5% and 30.0%, respectively. This study shows that there is need for greater scrutiny into the technique of the procedure in order that all surgeons may enjoy relative freedom from recurrence. Regardless of details, one

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