60 



AxiMAi. Castuatiox 



Operative Technique as Applied in Ca.st rating the Intra-Ahdom- 

 inaJ ''Ridgling" {Miles' No. 3). 

 (a) Scrotat Incision — AVith rubber glove on left band (R) and 

 Miles' book castrating knife (T) in tbe rigbt band (S), tbe point 

 of sbeatb (V) is grasped with tbe left (R) and traction made 

 upward and forward. (See Fig. 42.) Beginning well forward 

 on scrotum tbe knife is drawn backward, making incision (U) 

 tbi'ougb skin, sulieutaneous C(mnective tissue and dartos only. 

 Tbis incision (U) sbould be five incbes long, x)arallel to and one 



Fig. 42— Making Scrotal Incision. R, Left Hand; S. Right Hand; T, Knife; 

 V, Scrotal Incision; V, Point of Sheath. 



incb to tbe side of rapbe or "median line." (See Figs. 42 and 43.) 

 Wben tbe incision or incisions are completed remove iul)l)('r glove 

 from previously wasbed left band and, if necessary, rewasb botb 

 bands before ])roceeding fui'tber. 



(b) Opening and Entering the Tngainal Canal — Witb tbe four 

 fingers of eacb band, placed back to back, separate, by tearing, tbe 

 tissues down to tbe external abdominal ring, wbicb is tbe entrance 

 to inguinal canal. Tbe next step is to lubricate tbe scrotal wound 



