Incisional Hernia

A female, aged 29 years, was admitted in July 1932 '?r an appendicular abscess which was drained through a McBurney's incision for more than a week. She was discharged cured after a month. On 27th August, 1934, she was admitted with a big hernia at the line of "icision and was complaining of pain and constipation. A gap 0f two inches could be felt after reduction of hernia and on releasing the pressure the hernia recurred quickly. Peristaltic waves were seen under the skin to the movement of the small bowel. On 30th September, 1934, she was operated upon. An elliptical Portion of the redundant skin stretched over the hernia }v.as removed, the peritoneum was mobilized all round the rent, the redundant portion was excised and the Peritoneum was sutured as in a laparotomy wound. The transversalis and internal oblique muscles were brought together by two kangaroo-tendon stitches, and further strengthened by interrupted 30-day catgut stitches. A silver filigree 4 inches by 2 inches was carefully laid between the internal oblique and transversalis muscles behind and the external oblique in front. The