46S 
REPORTS OF CASES. 
it would have been more difficult to tear the abdominal wall at 
the place of the scar than in any other part of the abdominal 
wall. There were 4 to 5 radiating star-like scars on the peri¬ 
toneal surface of the cercum, 3 of the same on the large colon 
and some 3 to 4 on the messentery of the small intestine; but, 
surprising as it may seem, there was not a single inflammatory 
adhesion or false union of any of the peritoneal surfaces. There 
AFTER 
were a few small white flakes on the surface of the liver. The 
remarkable points of interest are: 
1. The healing or rapid union of the freshened surfaces of 
the hernial borders following the operation. 
2. The firm, fibrous, untearable cicatrix. 
3. The long retention {2^/2 years) of the silk sutures without 
any indication of absorption; yet some continual suppuration 
around them. 
4. No peritoneal adhesion; all scars free and smooth. 
5. The scars where the large ovaries were removed were not 
larger than a pea and were also smooth. 
When aseptic conditions may be secured and maintained the 
following method of operation may be employed: Separate the 
