In venturing to call your attention to some new points in the treatment of hernia, I assume that you are all familiar with the methods now in use and the unsatisfactory results obtained by them. With our 3,500,000 of cases of hernia in this country—a ratio of thirty cases to every practicing physician—the great importance of the subject is self-evident. Of this large number, over 80 per cent, are inguinal and my remarks will refer more particularly to that variety.
The treatment of hernia may be divided into, first, the palliative; second, the mixed; third, the treatment of strangulated hernia; and fourth, the "radical cure."
First, the Palliative.—The palliative or mechanical treatment of hernia includes all measures used to prevent the descent of the hernial protrusion, but more particularly, the employment of trusses of various descriptions.
To the general practitioner this is, unquestionably, the most important method of treatment, for