COMPLICATIONS IN CASTRATION 



57 



iiiliTiial abdominal ring a.s a guide, select a site one iiicli ahove and one 

 inch 111 front of it, and proceed witli a peritoneum perforator to rupture 

 the thin abdominal wall, which at this point consists only of the trans- 

 versahs fascia and peritoneum, as you are now above the upper border of 

 the internal oblique muscle. This atfords access to the abdominal cavity. 

 The perforation should not exceed one inch in length. 



(d) Locating the Spermatic CVjrr/— With tlie index and second finger 



Fig. 45 — Entering the abdominal cavity by perforating the thin abdominal wall. 

 A, Right hand in the inguinal canal: B. peritoneum perforator in action: C, 

 incision: D, left hand manipulating perforator. 



enlarge, by stretching, the abdominal perforation sufficiently to admit 

 both tingers (Fig. 46). The cord (C) is almost invariably located within 

 two inches of the abdominal perforation (F). To find the cord, pass the 

 second finger downward against the internal abdominal wall (G) and the 

 index finger directly forward, slightly upward toward the center of the 

 abdominal cavity. By bringing these two fingers together (Fig. 47) the 



