66 SPRING-TIME SURGERY 



of any consequence and it is seldom that one needs 

 to ligate a bleeding point. The only hemorrhage 

 that one can have is from the vessels of the dartos 

 and they are small. Hemorrhages from the stump 

 of the cord is practically unimportant except oc- 

 sionally in pathological testes, in which case one 

 can ligate before cutting off with the crushing in- 

 struments. 



Do not introduce a pack of any size into the 

 inguinal canal. I believe that any operation that 

 requires the canal to be packed is, generally speak- 

 ing, a failure. Operating by the foregoing 

 method, heeding the warnings that have been 

 given, one will never have need for the pack. 



The opening into the belly that is described in 

 the foregoing is a self -protecting one against es- 

 cape of the viscera. Of course, it is possible for 

 a loop of bowel to come down, but I have never 

 had such to occur. A dressing of the wound 

 that is to be recommended is as follows : 



As soon as the testicle is disposed of a small 

 pack of dry sterile gauze is placed in the scrotum 

 and the scrotal wound is sutured by a continuous 

 suture of the linen tape. Its chief purpose is to 



