into the abdominal cavity, or
upon the coating of the intestine, is an impossibility, and in no way
can an injection be made into a blood vessel or nerve so as to produce
any discomfort or trouble. We thus avoid all the risks that pertain to
the usual plan of injection.

There is a small percentage of cases, as before stated, in which this
form of treatment is not likely to give a permanent cure, from the fact
that the omentum or intestine has become adherent externally, to the
sac, or in the scrotum, to the coverings of the testicle. This makes the
complete replacement of the rupture without cutting an impossibility,
and in such cases even where the hernial opening is closed, treatment by
injection only would not result in a permanent cure.

Our aim is to treat all cases of rupture that we undertake in such a
manner that _by no possibility can the deformity return_. We therefore
have for the cure of these cases another method, by which with our local
anaesthetic fluid, we are able to perform a surgical operation without
any distress whatever to the patient. The greatest risk of the old
operation for rupture was the danger of general anaesthesia with
chloroform or ether, or some similar agent. The great majority of
individuals cannot bear the inhalation of the large quantities of these
anaesthetics necessary to secure loss of feeling without consequent
nausea, and at times an effect upon the heart that often results
seriously. The risk from the anaesthetic is much greater than from the
surgical procedure. By our method, this risk is entirely done away with.
The pain dispelling fluid enables our operator to pursue his method
WITHOUT GIVING THE PATIENT ANY PAIN OR DISCOMFORT WHATEVER. During the
operation he is in full possession of all his faculties, and can assist
in any way desired by coughing, or straining, in order, at any time, to
complete the protrusion of the rupture and show its entire extent of
surface when the sac is laid bare. We then replace the rupture
completely; suture the sac so that the rupture will have no pocket into
which to descend, and then firmly unite the rings by a plan that we have
invented, and BY WHICH THEY ARE MADE MORE STRONG AND FIRM THAN IN THEIR
ORIGINAL STATE.

Early in our experience, and while using the plan of treatment that is
usually employed for the radical cure of rupture, we had occasional
relapses of the difficulty, but since using our improved method we have
had no such tro