. Operative surgery, for students and practitioners . AP, spermatic artery andpampiniform plexus. FP, fascia propria (sheathof the cord and originalinfundibular process). VD, vas deferens sur-rounded closely by thecremaster artery andartery of the vas deferensand their correspondingveins. VP, remains of the obliter-ated vaginal process. Fig. 200.—Cross Section of Spermatic Fig. 201.—Exposure of Spermatic Cord. The spermatic cord has beenhooked up out of the incision upon the finger, and its sheath incised prepara-tory to separating the vas deferens and adjoining vessels from the otherst


. Operative surgery, for students and practitioners . AP, spermatic artery andpampiniform plexus. FP, fascia propria (sheathof the cord and originalinfundibular process). VD, vas deferens sur-rounded closely by thecremaster artery andartery of the vas deferensand their correspondingveins. VP, remains of the obliter-ated vaginal process. Fig. 200.—Cross Section of Spermatic Fig. 201.—Exposure of Spermatic Cord. The spermatic cord has beenhooked up out of the incision upon the finger, and its sheath incised prepara-tory to separating the vas deferens and adjoining vessels from the otherstructures of the cord. OPERATIONS UPON SPERMATIC CORD, SCROTUM, ETC. 459 separating the other structures of the cord, veins of the pampiniformplexus and the spermatic artery, from the vas deferens, may be accom-plished with the fingers of the right hand (see Fig. 203). After the vas deferens, together with the several immediatelyadjacent veins, has been isolated for a distance varying from one totwo inches, depending upon the laxness of the scrotum and the lengthof the cord, etc., a double catgut ligature is passed with an arteryforceps and then cut so that we have two ligatures. These ligatures,which surround all those structures of the cord that have been sepa-


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