404 
M. JACOULET. 
ing with the Chassaignac ecraseur. However short the cord may 
be, so long as it reaches the inguinal interstice, and which is 
always the case, the chain may be easily applied above the 
testicle. 
In place of the ecraseur, however, we sometimes employ the 
method of limited torsion, which presents nearly the same advan¬ 
tages. In performing this manipulation, the testicle being ex¬ 
posed by the division of the vaginal sheath when it exists as in 
inguinal cryptorehidy, or even if this condition does not exist, the 
section is made through the entire cord, or after the division of 
its posterior portion. It may be effected by using either the two 
forceps, as in ordinary castration, or one only, with which to per¬ 
form the twisting while the limited torsion is secured with the 
hand. 
Cauterization is another means of division of the cord, which 
we consider likely to give excellent results in the castration of 
cryptorchids. 
An important question must now be determined in the prob¬ 
lem, whether in a case of double abdominal cryptorehidy it is wise 
to operate on both sides on the same day ? To this query we 
believe the answer must be in the negative. In the first place, it 
is not probable that it will be found practicable to bring out both 
testicles through the same opening, on account of the difficulty of 
finding the second, and the danger of eventration resulting fr< 
the process of searching for it. 
And again, even supposing that the second testicle could be 
readily found and secured, the length of its cord would not be 
sufficient to admit of its being drawn down the inguinal interstice 
o D 
of the opposite side. And lastly, after the section of the cord, 
the retraction of its extremity in the abdomen would be likely 
to give rise to a bloody effusion and an inflammatory action, which 
would frequently end in peritonitis. And again, in perforating 
the two inguinal interstices, a hernia would most likely take place 
through the first perforation while the second operation was in 
progress, since necessarily there would be more danger of perito¬ 
nitis from two peritoneal wounds than from one. We believe, 
therefore, that it is the course of prudence to wait until the 
