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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    Going back to the course of the operation, when the operator has reached the internal ring or its immediate vicinity, many operators diverge from the technic we have recommended. Instead of penetrating the ring, they push somewhat upward and forward and penetrate the fascia of the small oblique muscle. By this plan, the insertion of at least one finger in the abdom- inal cavity is necessitated, which, by the direct method we have suggested, may be obviated. Be- yond this, the operation is identical. It is, we believe, erroneously contended by the advocates of this plan that prolapse of the abdom- inal viscera is thereby obviated. The only cases of visceral prolapse from cryptorchid castration observed in our clinic have been patients operated upon by experienced castrators who were uncom- promising devotees to this plan, and applied the technic in their operations. In the ordinary cryptorchid castration, where the testicle is small and flaccid, and where it is drawn through the ring by traction on the vas deferens and epididymis or the withdrawal is sup- plemented by the very slight dilation of the ring
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