lOtt Axi:^iAL Castkatiox 



The flank incision itself is by far the most important step of the 

 operation, and remember that there is only one x)roper way to 

 make it. Learn how it should be made and make it that way. 



If we are invading the left flank the operator's left hand should 

 be forced through the abdominal incision and a careful search 

 made — toward the pelvic region — for either the testicle or sper- 

 matic cord. One or both of them will soon be encountered. Bring 

 the testicle outside the abdominal cavity if the cord is sufficiently 

 long to permit it. Then sever cord with emasculator and drop 

 stump of cord back into the abdominal cavity. If the cord is not 

 long enough to permit testicle being brought out of abdomen, then 

 the emasculator or ecraseur may be passed through the incision 

 and cord severed inside. 



The wound is now sponged ofl with antiseptic solution and 

 closed by three interrupted sutures. 



After Care and Treatment — Limited diet for five days. Re- 

 moval of sutures at expiration of eight days. If stitch abscess 

 forms the suture mav be removed at an earlier date. 



