Operative surgery . united, to avoid the ex-tensive extravasation of blood that the loosetissue of the scrotum invites. In case extrava-sation happens, the blood should be removedat once from the tissues and the bleedingpoint found and tied. The Radical Treatment of Varicocele.—TheFig. scrotal clamp. ^^^^^^ employed to obliterate the dilated ves-sels are quite numerous. They all, however, accomplish the result by com-pression. Only such as are considered consistent with the safety of thepatient are here described. It will be noted that in some instances theoperation is an open one
Operative surgery . united, to avoid the ex-tensive extravasation of blood that the loosetissue of the scrotum invites. In case extrava-sation happens, the blood should be removedat once from the tissues and the bleedingpoint found and tied. The Radical Treatment of Varicocele.—TheFig. scrotal clamp. ^^^^^^ employed to obliterate the dilated ves-sels are quite numerous. They all, however, accomplish the result by com-pression. Only such as are considered consistent with the safety of thepatient are here described. It will be noted that in some instances theoperation is an open one—the vessels being reached through one or morefree incisions. In others, puncturing only is practiced for this purpose. In each of the operations great care must be exercised to avoid the vasdeferens and artery. Therefore it is proper to repeat the fact that they lieposteriorly to the enlarged and wormlike congeries of vessels (page 1453),around which the compression is usually applied. If the patient be caused. OPKRATIOXS OX THE SCKOTLM AND IKNIS. 1220 to lie down with the liips eloviitcil, the bhjod will ivturii from the varieoseveins into the general eircuhition, after which the vas deferens and the arterycan be easily isolated and separated from the veins. If the patient thenassumes an erect position, the veins will again becotne distended ; afterwhich, if pressure be maintained npon the cord at the external ring by anyeffective agency, the vessels can be distinctly outlined with the patient placedagain in the recumbent position. The operator having thus carefully iso-lated the vas deferens and the artery, the patient can be etherized and theoperation performed. The Compression witli Pins (Fig. 145G).—Compression with pins con-sists simply in passing a strong pin through the scrotal tissues in front ofthe vas deferens and the artery and behind the varicose veins, and throwingaround its protruding extremities, so as to include the tissue in front, anelastic ligature, o
Size: 943px × 2650px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
