Dr. Emory G. Alexander1 in 1913 in a paper on strangulated hernia wrote "It is strange that in the past two decades of progressive surgery, an era unparalleled by great strides made in the art of diagnosis, operative technic and after-treatment—to say nothing of the help obtained by educating the public to surgical conditions—little has been done either directly or indirectly to lower the death rate of this condition." The results of the treatment of strangulated hernia are no better in 1945 than in 1913. A review of reports on strangulated hernia, published since 1913, shows that the results of treating this condition are as poor now as they were then; in fact, the death rate is about as high today as it was in the days of preaseptic surgery.
Many ingenious methods have been proposed for the cure of patients having gangrenous bowel in external hernias. The accompanying
GATCH WD, MONTGOMERY WF. THE TREATMENT OF EXTERNAL HERNIAS CONTAINING GANGRENOUS BOWEL: NEW METHOD UTILIZING THE MILLERABBOTT TUBE. JAMA. 1945;129(11):736–739. doi:10.1001/jama.1945.02860450022006
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