CHAPTEE III. 



BTETHODS OP THE SECOND CLASS — CLAMPS — COYEEED 

 AND UNCOYERED OPERATION— INSTRUMENTS — EOUR 

 VARIOUS STEPS — OBJECTION TO THIS METHOD — TIME 

 TO REMOVE THE CLAMPS — LIGATURE — OE THE CORD 

 AND ITS ENVELOPES — OF THE COED ONLY — OF THE 

 SPERMATIC ARTERY — OF THE EFFERENT CANAL — 

 SUBCUTANEOUS OPERATION. 



Having completed the consideration of the various 

 methods included in the first class, we propose next 

 to examine those entering into the second, which 

 embrace those in which certain means of pressure 

 are applied and suffered to remain upon the cord 

 previous to the amputation of the testicle. These 

 are two in number^ and consist of the process known 

 as that of the clamps, and that which involves the 

 use of the ligature. 



THE METHOD BY THE CLAMPS. 



This is an ancient mode of operating, having been 

 transmitted to us through many ages. It has re- 

 ceived the sanction of long practice, and, if not 



(39) 



