. Abdominal hernia : its diagnosis and treatment. , in left inguinal region, does not show. tubercular affections. Recent studies, however, show conclu-sively, it would seem, that the testicle has a function aside fromits procreatixe power, and that this function is lieneficial to thegrowing child or young man. The well known mental effectfollowing their removal is also to be taken into account beforesacrificing one or both of these organs. Furthermore, it is yetto be proven that testicles lodged in the abdominal wall are any COMPLICATIONS IN SURGICAL CURE. 245 more liable to malignant disease
. Abdominal hernia : its diagnosis and treatment. , in left inguinal region, does not show. tubercular affections. Recent studies, however, show conclu-sively, it would seem, that the testicle has a function aside fromits procreatixe power, and that this function is lieneficial to thegrowing child or young man. The well known mental effectfollowing their removal is also to be taken into account beforesacrificing one or both of these organs. Furthermore, it is yetto be proven that testicles lodged in the abdominal wall are any COMPLICATIONS IN SURGICAL CURE. 245 more liable to malignant disease than when in their normalposition. The necessity of having some form of operation thatwould provide for the saving of these testicles, where the cordis too short to allow of their being put in the scrotum, wasforcibly brought home to me in the case shown in fig. 126. twoyears after operation. This young man demanded that unlessI could otherwise afford him relief, that both testicles shoukl be Fig. Case of retained testicle shown in fig. 127. Whole sac and contents before opening. removed. He was 25 years old, had been hapjjily married fortwo or three years, and was thoroughly competent to dischargehis matrimonial obligations. He had suffered extremely, bothfrom the slipping of the testicles under the truss pads, andfrom attacks of strangulated hernia whenever the truss wasleft off. The amount of constriction by the truss, whichwas found necessary in order to retain both the hernire andthe testicles, is shown in the photograph (fig. 87) whichwas taken upon the removal of the truss. In entering upon 246 ABDOMINAL HERNL\. this operation, I had no very definite idea just what I shoulddo, and when I had finished thought that I had devised anew operation for just such cases, but found shortly after-wards that my friend. Prof. Dawbarn. had recommendedpractically the same procedure. His operation had not espe-cially contemplated the relief of cases of delayed testes, but thecure
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