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Follow-Up Studies on Three Hundred and Sixty-Seven Operations

HENRY N. HARKINS, M.D.; RICHARD H. SCHUG, M.D.

Arch Surg. 1947;55(6):689-709.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

DURING the past seven years we have studied a method of herniorrhaphy which utilizes Cooper's ligament in situations in which one would customarily use Poupart's ligament. This method was first advocated by Lotheissen¹ for use in femoral hernia and was extended to direct and some indirect hernias on the basis of the anatomic studies of McVay and Anson² (1940).

The conventional operations for the repair of hernia in the groin generally involve two principles: 1. Indirect inguinal, direct inguinal and femoral hernias are repaired by different methods. 2. When an inguinal approach is used, some structure is sutured to Poupart's ligament. The present method disregards both of these tenets and consists, in brief, of two essential features: 1. Those structures usually sutured to Poupart's ligament are fastened instead to Cooper's ligament (the ligamentum pubicum superius B N A). 2. Essentially the same technic can be used for all . . . [Full Text PDF of this Article]

Author Affiliations
SEATTLE; DETROIT

From the Department of Surgery, Johns Hopkins University and the Johns Hopkins Hospital, Baltimore, and the Division of General Surgery, Henry Ford Hospital, Detroit.

Footnotes
Read at the fourth annual meeting of the Central Surgical Association, Chicago, Feb. 22, 1947.

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