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August 20, 1892

THE SIGNIFICANCE OF AN HERNIAL SAC.Read before the Section of Surgery and Anatomy, at the Forty-third Annual Meeting of the American Medical Association, at Detroit, Mich., June 7, 1892.

JAMA. 1892;XIX(8):233-234. doi:10.1001/jama.1892.02420080027001j

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[The name of the author does not accompany this paper.]

Hernia is full of interest; is fraught with imminent danger, and may come when least expected.

Modern progress has given a new impulse to early diagnosis. To recognize hernia in embryo is to anticipate all its perils. Hernia and sac seem indissoluble. Unhesitatingly the student of medicine associates the two. In whatever situation it occupies, a hernia is composed of a sac and contents. Practically this teaching is just a little misleading. For years past it has been my aim to impress my class with the importance of early diagnosis, that is, diagnosis before the formation of a sac, for with the sac come as probabilities all the calamities incident to the infirmity, viz.: inflammation, irreducibility, incarceration and strangulation; disasters embodying the significance of an hernial sac. The palliative cure of hernia is the permanent vacation of the sac; the

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