Without entering into a discussion of the relative merits of suture materials possible or desirable, all of which can be found in our text-books, it shall be the aim of this brief and preliminary communication to show the feasibility as well as the desirability in certain situations of utilizing the patient's own living tissues as the resisting medium to future hernia. While at work with an inguinal hernial operation the idea occurred to me that it would be feasible to utilize a strip of the tendinous portion of the external oblique, which, possessing fibers in the adult from 5 to 6½ inches in length, would have sufficient strength to act as a substitute for the absorbable kangaroo sutures. Experiments on dogs and operations on the human being have proven to me the feasibility of the procedure; it remains for the future to determine the actual value of the suggestion.
McARTHUR LL. AUTOPLASTIC SUTURE IN HERNIA, AND OTHER DIASTASES.—PRELIMINARY REPORT. JAMA. 1901;XXXVII(18):1162–1165. doi:10.1001/jama.1901.62470440012001c
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