58 SPRING-TIME SURGERY 



the region inside the opening. The cord struc- 

 tures pass from above downward in close juxta- 

 position to the opening. They are attached to the 

 belly wall near the opening and consequently can- 

 not get far away. More often they are right be- 

 neath the finger tips, very often they are in front 

 of the opening and less frequently they are be- 

 hind the opening. In the past six years with a 

 large series of cases it has not been necessary for 

 me to introduce the entire hand into the abdomen 

 to locate the testicular structures. I have, in 

 several cases, introduced the hand into the abdo- 

 men for the purpose of examining pathological 

 and enlarged testicles, and for overcoming cer- 

 tain conditions in the removal of testicles. 



No Search Necessary. — With due attention t* 

 the entrance into the abdomen, search for the tes- 

 ticle is eliminated. It is right at the finger tips 

 when they are introduced. The only thing that 

 is necessary is to be able to recognize the differ- 

 ence, by sense of touch, between the testicular 

 structures and loops of bowel. This should not be 

 difficult, but I notice that some are unable to d« 

 it with certainty. Examination of the structures 



