SEQUELAE OF CASTRATION 



79 



57) 5 inelis long with the orig-inal cicatrix (scar) B as the center of the 

 island of skin to be removed. These incisions shoukl penetrate the skin 

 and snbeutaneous connective tissue only. By careful dissection (both 

 sharp and blunt) the cord is gxadnally loosened and isolated by breaking- 

 down the numerous dense adhesions surrounding it. The elliptical island 



"%;i^. 



.j«ito^ 



Fig. 59 — Exuberant granulations wliich liave assumed the chronic 

 form and reached enormous size. 



of skin which is removed oji the end of the cord should be sutfieiently large 

 to include all external diseased tissue, sucli as sears, granulations, etc. The 

 tumor is now grasped with the vulsellum forceps (Fig. 58), which arc 

 held by an assistant in such a manner as to afford considerable direct 

 upward traction. With the cord tense from traction the careful dissection, 

 is continued up the inguinal canal until a point is readied well above tht 



