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The modern operation for the cure of inguinal hernia is not as satisfactory as. we have grown accustomed to believe. Supportive evidence for this statement may be found in the high percentage of recurrence furnished by trustworthy operators, and likewise in the fact that so many different modifications of the operation have been recommended within the last five or ten years.
As an offset to this rather pessimistic outlook, we may have faith in the belief that out of these modifications there are developing rational procedures of practical value. It has been recognized for a long time that high ligation of the sac and perfect wound healing are two vitally fundamental factors in protecting against postoperative recurrence. It is therefore not necessary to devote any time to reemphasizing these facts or to discussing at length the moot points of obliquity of the inguinal canal and the valvelike action of its
SEELIG MG. FUNDAMENTAL PRINCIPLES UNDERLYING THE OPERATIVE CURE OF INGUINAL HERNIA. JAMA. 1927;88(8):529–532. doi:10.1001/jama.1927.02680340001001
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