CASTRATION OF CRYPTORCHIDS. 
405 
aatient lias recovered from the operation on one side before sub- 
ecting him to a second shock upon the other. This is the course 
ve pursued in the only case of double abdominal cryptorchid 
which has come under our observation. But when the double 
’ingling is inguinal, or abdominal on one side and inguinal on 
he other, it is our custom to operate on both sides at the same 
ime. 
D.— The Dressing .—As complementary to the operation, 
\fr. Diriex, whose method is that of the ligature without imme- 
liate amputation, applies the continued suture, which is removed 
>n the third day, when the testicle is allowed to drop. 
Mr. Paret, after simply dividing the cord and cauterizing the 
md, applies a dressing of oakum dipped in oil, which he pushes 
ip to a distance of about five inches, and keeps in place with two 
stitches. This dressing is entirely removed after forty-eight 
lours. 
Mr. Degive’s advice is to leave the wound without dressing, 
mless eventration threatens, in which case he recommends the 
ise of a padding of oakum, to be kept in place with sutures. This 
was done in thirteen cases previous to 1875, with quite a satisfac- 
;ory degree of success. 
We have ourselves discarded all dressings, and in so doing 
lave done well. In one case, however, hernia appeared before 
die animal was left to get up, and although it was reduced, the 
inimal died. We have since then had recourse to the following: 
dressing: A ball of oakum, about the size of the fist, and oiled, 
i is pushed to the entrance of the inguinal canal, between the edges 
if the inferior opening, but no further, and the scrotal skin is 
Drought over it and kept in place by an interrupted quill suture, 
which is left in place forty-eight hours, after which period hernia 
is not to be feared. The dressing is then removed, in order to 
allow the escape of any discharge which may have accumulated. 
The object of this dressing is less to counteract the apprehended 
tiernia, if it is otherwise disposed to occur, than to prevent the 
intestine from coming down outside of the wound if hernia 
should exist while the reduction is being made. Besides this 
die dressing will always serve as a preventive of hemorrhage. 
* 
