SCROTAL HERNIA 95 



Observe the usual aseptic precautions advisable in 

 all minor surgery. If the inguinal aperture in 

 the abdominal wall is very large it may be neces- 

 sary to hold the testicle through the scrotum while 

 the intestines are manipulated to prevent its re- 

 turn into the abdominal cavity along with the 

 intestines, in which case the animal would have to 

 be lowered before the testicle would again return 

 to the scrotum, thus causing annoyance and repe- 

 tition of the manipulation of the intestines. 



Holding the testicle between the thumb and 

 fingers as for ordinary castration cut through the 

 skin and dartos as for the covered operation. 

 Strip the cellular tissue from the tunica vaginalis 

 as close up to the internal inguinal ring as it is 

 possible to get. Then place a ligature very tightly 

 around the tunica vaginalis or sac including the 

 cord, vas deferens, the arteries, veins and nerves, 

 first making certain no portion of the intestine is 

 included in the ligature and that it is close enough 

 to the internal inguinal ring to prevent subse- 

 quent saculation and a further escape of the in- 

 testine from the abdominal cavity. The ligation 

 may be made with any stout cord, that has been 



