356 
M. JACOtJLET. 
lation to cerebral nerves and vessels, and the fatal trains of resu 
that are so frequently the sequel:—Second, under the most favc 
able circumstances, unaccompanied by precise expert treatinei 
a deaf and diseased ear must remain, offering abundant oppc 
tunity, perhaps, for a second onslaught of the same malad 
Unfortunately the disease receives next to no attention at t 
hands of teachers of either veternary or human medicine.* 
(To be continued .) 
CASTRATION OF CRYPTORCHIDS, 
By M. Jaooulet. 
(Continued from page 311 .) 
2nd Abdominal Cryptorchidy. 
The second part of the castration is here divided into foi 
steps. Those consist of: (A) Perforation of the inguinal inter 
tice. ( B ) Searching and prehension of the testicle. ( C) Abl 
tion of the organ. (Z)) Supplementary dressing. 
A. Perforation of the interstice .— As Mr. Degive says, th 
is undoubtedly the most important, as it is the most delicate J 
the steps of the operation. Upon its proper execution the su 
cess of the operation almost wholly depends. Its skillful pe 
formance requires that the operator should bear well in mind th 
anatomical disposition of the parts, and its satisfactory compl 
tion depends mainly upon his coolness and well guarded coni 
dence in himself and his qualifications. 
The operator should place himself towards the back of th 
patient, as in the two preceding steps of the operation, and ma 
*Recently I was consulted by a lady who sought relief for an aural discharJ 
of long standing, and who, as she informed me, had been advised by the famil 
medicial attendant to ‘‘let it alone” since it would be “a waste of time an 
money to attempt alleviation. This was the utterance of a gentleman standin 
deservedly high in the medical profession, and echoes a widely prevalent idea. 
is a leaf from a huge book of errors for which irresponsible and defective teachin 
is alone at fault. The impression is generally conveyed that to interfere with 
chronic discharge from the ear is to induce more serious results, and had its origi 
doubtless, in observation that the sudden cessation of din.otorrh(Ba of long standin 
is frequently followed by grave cerebral disturbance, forgetting the latter is du 
to damming of purulent secretion in the mastoid spaces, and not to appropriat! 
measures looking to removal thereof. 
