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The text presents a practical method for treating hernia by injecting paraffin, explaining the physiological rationale, advantages over open surgery—no general anesthesia, office applicability, simplicity, lower risk of suppuration—and procedural steps including skin and hand antisepsis, syringe preparation, and experimental practice on animal carcasses. It advises careful technique to avoid overinjection, discusses removal options if treatment fails, and responds to professional criticism by emphasizing operator training and precautions. Practical recommendations for postoperative care and comparative benefits are provided throughout.
Case 5 F. C.—American born, age 18. Private patient. Hernia about size of average marble midway between ensiform cartilage and umbilicus. Spontaneous origin. Injected at office with half dram of paraffin, melting point 115. Operation Dec. 2, 1905. About half dram total quantity used. No reaction when adhesive strip removed on fourth day. Slightly tender on pressure. Examination Feb. 7, 1906. No recurrence, no redness, no pain.