The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . ^compressed between the pinbehind and the loop of wirein front (Fig. 846). By thismeans the scrotum is quitefree and uncompressed, andthere is no danger of ex-citing inflammation or oede-ma. Tiie wire should be tightened from day to day, as it causesulceration in the veins until it has completely cut through, which re-sults, usually, in about a week or ten days. Meanwhile, there is muchplastic matter thrown out around the veins; this finally contracts andobliterates their channels. This method pr
The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . ^compressed between the pinbehind and the loop of wirein front (Fig. 846). By thismeans the scrotum is quitefree and uncompressed, andthere is no danger of ex-citing inflammation or oede-ma. Tiie wire should be tightened from day to day, as it causesulceration in the veins until it has completely cut through, which re-sults, usually, in about a week or ten days. Meanwhile, there is muchplastic matter thrown out around the veins; this finally contracts andobliterates their channels. This method produces an effectual and per-manent cure (Big. 841).. Fig. 845.—Vidals Operationfor Varicocele: Needlesand Wire applied. Fig. 846.—Wire Twistedand Veins KoUed up. Fig. 847.—Vidals Operation: Appearance of Needle and Wire wlien removed. Of late, I have been in the habit of employing a simpler method. Iseparate the vas deferens in the usual wa}, and then make a small inci-sion, about half an inch long, in the front and back of the sciotura :afterwards I pass a needle armed with silver wire, as before described,between the vas and the veins, bringing it out behind; I then return theneedle, but this time carrying it in front, between the veins and the skin ;and thus the veins are included in a loop of wire, without implicatingthe scrotum. The loop is then tightly twisted together, so as to con-strict the enclosed vessels. This plan has a similar effect to that of thewire and pin combined ; by repeated tightenings the wire graduallyeffects a passage by ulceration through the veins, which are obliteratedby the same process. It has been o
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