To all intents and purposes this means attempting the radical cure of any inguinal or femoral hernia operated on primarily for the relief of strangulation. I take it for granted that the hernia in either locality has been cut down upon, the sac has been opened, the constriction found and divided, complications dealt with successfully and the gut found in a condition to be returned to the abdominal cavity, either with or without an anastomosis having been performed, and that the condition of the patient and parts is such as to warrant an attempt at permanent closure of the wound with primary union very probable.
Our first concern is with the sac itself. This should be carefully isolated from the spermatic cord. If the sac is an acquired one, this will be an easy matter, if congenital, more difficult. In separating it from the vas deferens, the former
HAYNES IS. RADICAL CURE OF STRANGULATED INGUINAL AND FEMORAL HERNIAE. JAMA. 1900;XXXIV(6):322–324. doi:10.1001/jama.1900.24610060004001c
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