COMPLICATIONS AND SEQUELAE OF THE OPERATION FOR INGUINAL HERNIA

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Abstract
The operation for the repair of inguinal hernia is rightly regarded as one of the most satisfactory and simple of surgical procedures. The operative technic has become practically standardized for the routine case, the general principles of closure of the canal being accepted with difference of opinion only as to the merits of transplantation, or nontransplantation, of the spermatic cord. Special and unusual cases, particularly large, direct hernias, may require special measures, such as transplantation of the rectus muscle, or sheath, or implantation of fascia lata. Large series of cases have been reported by individual operators of great experience, showing a very high percentage of cures and a practically negligible death rate. Coley1reports 3,100 cases of inguinal hernia in which operation was performed at the Hospital for Ruptured and Crippled from 1891 to 1912, with twenty-eight recurrences, less than 1 per cent, of the total number. Out of

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