The practice of surgery . ce is safe andeffectual, but the formidable nature of the application is a serious ob-jection. 2. The veins may be compressed by suture, applied on needles passed beneath them by transfixion ; as inordinary varix (Principles, 3d Am. Ed. ); care being taken to exclude the vasdeferens and the spermatic artery. Obstruc-tion of the duct is tantamount to castration,and obliteration of the artery can hardly failto be followed by atrophy of the The operation of M. Vidal may be per-formed. The varicose veins, having beenseparated from the rest of the cord, ar
The practice of surgery . ce is safe andeffectual, but the formidable nature of the application is a serious ob-jection. 2. The veins may be compressed by suture, applied on needles passed beneath them by transfixion ; as inordinary varix (Principles, 3d Am. Ed. ); care being taken to exclude the vasdeferens and the spermatic artery. Obstruc-tion of the duct is tantamount to castration,and obliteration of the artery can hardly failto be followed by atrophy of the The operation of M. Vidal may be per-formed. The varicose veins, having beenseparated from the rest of the cord, are placedbetween two silver wires, passed by thetransfixion of needles, and emerging at thesame openings. By twisting together theends of the wires, the interposed veins arecompressed ; and, by a continuance of thetwisting, they are rolled up round the wires,while at the same time the testicle is some-what elevated. The ends are then secured,on a roll of bandage placed on the integument. By farther twistin^ o{ [ 241.]. [Veins compressed l>y needlesand ligatures. (From Fergusson.)— TUMORS OF THE CORD — CASTRATION. 579 the united ends, by means of a turnstick, the compression and twistingof the veins are gradually increased; and this is continued, until thewires free themselves by ulceration—thus declaring section and oblitera-tion of the veins to be complete. 4. Obliterative pressure may bemaintained on the veins at the groin, by means of a spring truss. Butthis, for obvious reasons, is not advisable. Moderate pressure there,however, is found very serviceable, not merely palliating, but sometimesobtaining cure ; probably by affording support to the veins, while theyare at the same time relieved from the superincumbent weight of moderate pressure is best applied by a light and accurately One great advantage of such treatment is its simplicity, andfreedom from risk by phlebitis. A variety of varicocele occasionally occurs, affecting the ve
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