Abstract
Many years ago, John Hilton 1 pointed out dangers of current methods of treatment of the disease called spina bifida. He found it safer to tap and bandage protruding cystic sac than to inject or ligate it. Improvement in aseptic technic has lessened immediate risk of surgical amputation, and further knowledge of meningeal spaces makes one shudder at thought of injecting iodine into these structures. But to judge from current literature, results of treatment are not greatly improved over what they were in 1863, when Hilton warned students of Guy's Hospital against use of knife. The failures which have followed procedure of amputation even in most expert hands are due to fact that in a large proportion of such cases amputated sac had an important, sometimes an indispensable, function to serve. The operative method which we
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