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John B. Hartzell, M.D.
JAMA. 1936;107(7):492-493. doi:10.1001/jama.1936.92770330002007a.
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It was over thirty years ago that McArthur1 first brought out the use of fascia as a suture in the repair of hernia. After incising the external oblique aponeurosis he cut a small strip off the free border of the medial and lateral flaps. He left these attached at their inferior ends. After ligating the sac he used the strip from the medial border to suture the internal oblique muscle to Poupart's ligament under the cord. He then used the strip from the lateral border to suture together over the cord the flaps of the aponeurosis of the external oblique. Three years later he reported ninety-three consecutive cases in which fascia had been used as a suture without recurrence of the hernia. One of his patients died a year after the operation had been performed and he secured the scar. Microscopic sections showed the graft passing through


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