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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    view, the entire epididymis being abnormally elongated and attenuated. The testicle itself re- mains firmly lodged above the internal ring, or incarcerated in it, and, however much traction may be exerted on the epididymis, the gland usually remains immovably fixed. The first case of this kind with which we met led us into error, and we removed the epididymis and a portion of the vas deferens, while we left the testicle in the abdomen. Later in our clinic we operated upon a case, the history of which could not be traced, but which had evidently been operated upon by some one who had fallen into the same error, removing the epididymis and leaving the testicle. The condition offers some difficulty to overcome. The most direct method is to freely incise the peritoneal sheath down to the internal ring and either dilate this by forcing the finger through the ring along side of the vas de- ferens and epididymis, or by cautiously incising the ring with a scalpel or bistoury. The testicle may then be withdrawn and removed. If the testicle itself is encountered in this re- gion (inguinal cryptorchidism) the gland is to be
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