During the past few years the interest in this subject has increased very greatly. In this country the first real impulse was given to the surgical treatment of hernia in children by the excellent paper of William B. Coley, which was based on an extensive personal observation. This has since acquired remarkable dimensions, as is shown by the paper of Bull and Coley, which appeared during the past year. In England the subject has been discussed at length, especially in the British Medical Association, by Langton, Eccles, Campbell, Harrison, Heaton, Owen, Parker, and many others; and on the continent Broca, Mugnai, Fraenkel, Felizet, Lucas-Champonnière, Tillmann, and others urge the operative treatment as applicable to a large proportion of all cases of hernia in children.
That operative treatment is indicated in strangulated hernia in children was recognized many years ago, although the prognosis was much less favorable in the pre-antiseptic time.