12 SPRING-TIME SURGERY 



hour, without serious harm to the patient, and 

 without seriously transgressing the general senti- 

 ment of humanity for animals, which is develop- 

 ing so rapidly amongst our people. Anesthesia is 

 also highly important for the experienced opera- 

 tor. The inguinal region needs to be kept as 

 freely open and the tissues as passive as possible, 

 this can be attained only by general anesthesia. 



When the beginner is working upon an anes- 

 thetized patient, he is relieved from the dis- 

 turbances of change in position and the shifting 

 in the relations of parts. The abdominal viscera 

 are not forcibly pushed against his hand or 

 through the opening. It is of great importance 

 also that the beginner should be relieved, through 

 the general anesthesia of his patient, from the 

 confusing and enervating mental anxiety caused 

 by the pain he is otherwise inflicting upon the pa- 

 tient, as expressed by violent struggling, sweat- 

 ing, groaning, etc. 



Again, general anesthesia is always best, even 

 for the experienced operator in all cases of com- 

 plications, and the surgeon rarely knows that a 

 case is complicated until deeply in the operation, 



