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March 12, 1927


JAMA. 1927;88(11):857. doi:10.1001/jama.1927.02680370085021

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To the Editor:  —In his article on "Fundamental Principles Underlying the Operative Cure of Inguinal Hernia" (The Journal, February 19), Dr. M. G. Seelig, speaking of the Andrews procedure of suturing the mesial edge of the cut aponeurosis of the external oblique muscle to Poupart's ligament, said: "I believe that in the literature there has been only one formal protest against the procedure. W. M. Brickner (Am. J. Surg. 40:73 [March] 1926) called attention to the fact that normally the external oblique aponeurosis is attached to Poupart's ligament, and that therefore the Andrews procedure merely restores structures to the status in which they were before the inguinal canal was exposed by incision of the external oblique aponeurosis. This objection is not easily or convincingly answered."I would not like to be understood to "protest against" this procedure. What I wrote was: "To sew the cut edge of the externus

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