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August 26, 1905


JAMA. 1905;XLV(9):626-629. doi:10.1001/jama.1905.52510090048001m

Three decades have nearly passed since I first obtained respectful attention from the Section on Surgery of the American Medical Association, when I announced a new method for the cure of hernia.

This method was based on the reconstruction of the inguinal canal to its normal obliquity. This was rendered possible only by a free dissection of the parts, the resection of the redundant peritoneum and closure of the deeper structures beneath the cord. The cord was then replaced and the external structures united. The wound was sealed with collodion. The suture material was catgut, furnished me from Glasgow, Scotland, by the instrument maker who prepared ligatures for Mr. Lister, after his formula. The buried animal suture was the inspiration of the moment, born of necessity, in the closure of a strangulated inguinal hernia. This was in 1870. A long series of histologic experimental studies on animals was undertaken to

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