512 
R. MIDDLETON. 
convenient point to grasp is the globus major or minor. With 
one hand in the rectum the whereabouts of the testicle is com¬ 
paratively easy to find out; I have avoided it, however, since 
the aseptic course of the wound can be very materially inter¬ 
fered with ; when the hand is well washed and disinfected and 
the nails cleaned after withdrawing from the rectum, the “ in¬ 
tention” of the healing cannot be influenced. To avoid the 
trouble of redisinfection, an assistant who understands the 
steps of the operation is a good help, especially by aiding per 
rectum. 
When the organ is not found by two fingers the cutaneous 
wound should be enlarged and the whole hand inserted. The 
immediately adjacent tissue and surroundings of the internal 
ring are investigated ; when not successful in meeting the tes¬ 
ticle here the hand is carried back to the superior face of the 
bladder: the vas deferens sought out, and followed. 
5. Removal of the testicles; for this purpose dressing for¬ 
ceps are fastened upon the cord, which is then ligatured in 
those portions by sterilized catgut or silk ; the cord is now 
severed below the ligature. The separation may also be ef¬ 
fected by careful torsion; I prefer the former, for by it 
haemorrhage is certainly prevented, and healing favored. 
After the testes are removed, and there is assuredly no portion 
of intestine in the wound, the same is washed with sublimate 
solution 1:1000; and by means of the interrupted sutures the 
periphery of the wound is brought into juxtaposition. From 
six to eight sutures are used and the needle is plunged through 
the skin and subcutaneous tissues about one-half inch from the 
edge of the wound. After this the whole region is again 
washed with sublimate solution and a powder of iodoform and 
tannic acid 1:3 is strewn over the wound. 
After the patient is in the stall a bandage is applied; this 
is made of saturated oakum (in carbolic solution) or sublimate 
cotton, which is covered by a triangular linen cloth and the 
latter fastened to the crupper strap. The sheath must be so 
disposed as not to saturate the bandage at every micturation. 
The bandage is allowed to remain so long as no pyretical 
disturbance is manifested; the diet consists of half rations of 
