Critical evaluation at this time of the injection method of treating hernia is highly desirable. It is my belief at present that by this means permanent cure can be effected, but only in suitable, selected cases.
The physician is under strong pressure from many sources to employ this form of treatment. Syndicated newspaper articles1 have appeared instructing the public that the treatment is established, that the physician who does not employ it is backward, and that it is opposed by the orthodox profession because it is new and hence unorthodox. The patient of course seeks to avoid an operation, is ready to refuse surgical advice and is eager to pay much money for any promise of other cure. To illustrate the attitude of the public and not otherwise to be compared, a concern in St. Louis, recently debarred from the mails,2 had gross receipts up to $250,000 a