Springtime surgery / edited by D.M. Campbell.

Date:
1916
Catalogue details

Licence: Public Domain Mark

Credit: Springtime surgery / edited by D.M. Campbell. Source: Wellcome Collection.

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    If a recognizable gubernaculum is present, it may be an important guide to the internal ring, and hence an aid of value to the operator, especi- ally to the beginner; or the operator, by grasping this and drawing upon it, may bring the testicle out through the ring and grasp it. Usually the presence or absence of this structure in a recog- nizable form may be suspected by the presence or absence of a distinct dimple or depression at the fundus of the scrotum. When the epididymis has descended into the scrotum, it is recognized as a somewhat firm cord about the size of a man’s finger, and is well nigh indistinguishable from the stump of the sper- matic cord following castration. It is more free from adhesions to surrounding tissues, and its obtuse extremity is connected with the skin and dartos only by the indistinct gubernaculum. Cut- ting through the peritoneal sheath of the cord, the operator exposes the vas deferens and tail of the epididymis firmly attached, naturally, not by adhesions, at the distal end of the tubular cord. By exerting traction upon the tail of the epididy- mis, the head of that organ may be brought into
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