Interstate medical journal . tension; but the filigree will, as my casesshow, do far more than meet these ordinary physiological requirements. Indeed 462 BARTLETT. I can prove by two case histories that a filigree such as I have devised, whenrightly implanted, enables the abdominal wall to successfully resist an intra-abdominal tension greatly increased as a result of pathological processes. CaseNo. 2 of my former series was operated upon more than two years ago for aventral hernia, the result of Talmas operation for cirrhosis of the liver; Iimplanted a filigree and in spite of the fact that t
Interstate medical journal . tension; but the filigree will, as my casesshow, do far more than meet these ordinary physiological requirements. Indeed 462 BARTLETT. I can prove by two case histories that a filigree such as I have devised, whenrightly implanted, enables the abdominal wall to successfully resist an intra-abdominal tension greatly increased as a result of pathological processes. CaseNo. 2 of my former series was operated upon more than two years ago for aventral hernia, the result of Talmas operation for cirrhosis of the liver; Iimplanted a filigree and in spite of the fact that there has been a decided reac-cumulation at times, the filigree has done all that could have been expected of itin an uncomplicated case; again I instituted like treatment (case No. 9, the sec-ond of the present series) for a post-operative hernia that had followed a lapa-rotomy undertaken for the cure of tuberculous peritonitis. At the secondaryoperation considerable ascites as well as an extensive eruption of miliary tuber-. Fig. 1. Fig. 2. cles was encountered, and though the symptoms of chronic peritonitis withexudate have recurred, still there is no sign of heruia, at the expiration of twomonths, and it must be acknowledged that the filigree has made possible some-thing which a simple plastic operation did not effect, something which cannotreasonably be expected of this last named procedure. In view of these facts, Itrust that I may not be thought to go too far when I suggest that such a filigree beimplanted in every case at the initial operation, ivhere there is a reasonable certaintythat ascitic fluid will reaccumulate within the peritoneal cavity, no matter from whatcause. The three additional cases which I here relate are all of them unusual,though different in every respect. The first is a large and rare 1 interstitialhernia, the second is interesting because it followed immediately upon a lapa- RADICAL CURE OF ABDOMINAL HERNIA. 463 rotomy which had been undertaken for
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