Ethusiasm for laparoscopic operations reached a new high during the 77th Clinical Congress of the American College of Surgeons. One year before, at the annual meeting in San Francisco, Calif, we saw tentative, primordial demonstrations of the use of laparoscopy to manage groin hernias. These demonstrations were restricted to scientific exhibits. I was tempted to follow the lead of the editor of the Zentralblatt fur Chirurgie in 1882. After a report by Ludwik Rydygier1 on the first stomach resection for management of a gastric ulcer, the editor made an observation to the effect that he hoped Rydygier's report would be the last. After last year's emphasis on laparoscopy, I hoped the same for reports of laparoscopic hernia operations.
By the 1991 meeting in Chicago, Ill, however, we were seeing wide-screen video presentations in both the scientific and commercial exhibit halls, which contained sufficient seating to excite the most avid