—A colored man, aged 31, was brought into Providence Hospital by Dr. Scott, of Anacostia, Dec. 5, 1908, for immediate operation for a strangulated left inguinal hernia, the strangulation being of about twelve hours' duration.
—The hernia was exposed and the sac incised in the usual manner, the contents consisting of twelve inches of gangrenous small intestine and a small portion of the omentum which was adherent to the bottom of the sac. The intestine failing to react to the application of hot saline solution, the narrow clamps adopted by Parker and Kerr1 in their work were applied transversely to the axis of the intestine, one inch outside of the gangrenous portion, and resection performed. A Cushing continuous right-angled suture (the "basting-stitch" of Parker and Kerr) was then applied over the clamps; the clamps were withdrawn, and the "basting-stitches" drawn taut, perfect invagination resulting. End-to-end anastomosis was