SUPPRESSION OF HEMOERHAGE 61 



l>leeding vessel. Moreover, there are instances in which 

 the hemorrhage recurs after the packing is removed, and 

 as a result the cleansing of the wound cannot be properly 

 carried out. 



Castration 



Why hemorrhage occurs in some cases after castration 

 and not in others, when the measures adopted to secure 

 the spermatic artery are similar in each instance, is a 

 problem which is not easy to solve. 



Generally speaking, the most serious and annoying 

 cases are those that occur some time after the operation, 

 say within twelve or twenty-four hours. As my experi- 

 ence of castration cases is limited to those operated on 

 by torsion, I can deal with the subject onl}' from this 

 point of view. This experience has taught me that in 

 the vast majority of cases, if torsion is properly carried 

 out and the spermatic artery is in a healthy condition 

 and the animal healthy, hemorrhage does not occur. 

 The exceptions are those cases in which we cannot account 

 for the hemorrhage. 



The procedure to be adopted depends on the extent 

 of the bleeding. We frequently observe cases that bleed 

 profusely after getting up, but this soon ceases without 

 any treatment. Obviously, such do not depend on hemor- 

 rhage from the spermatic artery, but the bleeding arises 

 frcm the artery of the cord or from a vessel in the 

 scrotum. 



When the hemorrhage is profuse and clearly arterial, 

 the best plan is to cast the animal, seek for and secure 

 the severed end of the spermatic cord, and apply a liga- 

 ture. This is far preferable to plugging the inguinal 

 canal and scrotal cavity with tow, with its risks of sec- 

 ondary hemorrhage when the packing is being removed, 

 and the extensive swelling which always results. In the 



