To-day's mail brings me an advertisement of a new abdominal supporter especially devised to be used after laparotomy, with the statement that the hospitals are ordering them in quantities. Such advertisements reach the tables of nearly all the members of this section and are indications of their general use. One of the largest hospitals of Boston makes a routine practice of having patients wear an abdominal supporter for one year after operation. The most approved pattern adopted is a kind of reversed corset, especially fitted to the individual.
Wherefore the need? It is reported that in this same hospital, notwithstanding all this care, about 10 per cent of the laparotomies are followed by hernia at the site of the wound.
A fair critic must arrive at one of the following conclusions: Either that the technic of reunion is faulty, or that the severed portions of the abdominal wall can not