American practitioner and news . oteetomy would have enjoyed a greater popularity, ifa method had been devised previous to our own enabling theBurgeon in this operation to eaailj and surely control hemor-raage. It is the fear of hemorrhage, operative and post-opera- 22 The American Practitioner and News. tive, the fear of hematoma formation which has deterred manysurgeons from performing this operation, and which has Ledothers to devise ingenious clamps for the prevention and con-trol of this accident. There is not any «lamp, whether convexor concave, whether designed to be applied proximally
American practitioner and news . oteetomy would have enjoyed a greater popularity, ifa method had been devised previous to our own enabling theBurgeon in this operation to eaailj and surely control hemor-raage. It is the fear of hemorrhage, operative and post-opera- 22 The American Practitioner and News. tive, the fear of hematoma formation which has deterred manysurgeons from performing this operation, and which has Ledothers to devise ingenious clamps for the prevention and con-trol of this accident. There is not any «lamp, whether convexor concave, whether designed to be applied proximally ordistaily to the site of section that has proved universally effi-cient. It is now conceded that clamps do not furnish anabsolute safeguard against hemorrhage. Accidents have fol-lowed their use by competent hands (Dardignas, Lucas-Championniere, etc.). We have discarded the use of clamps,special or others, and have succeeded in working out a tech-nique which absolutely eliminates all danger of or Figure 1. In resecting a scrotum, the line of section may be unilat-eral, may be bilateral, may be longitudinal, may be almost invariably resort to a bilateral transverse line ofsection. The same technique, however, is serviceable for alongitudinal line of section. In longitudinal resection, thecicatrix falls in the line of the medium raphe, or rather recon-stitutes it, and the scrotum is in no way deformed. Transverse Heineck: New Operative Technique for Varicoa i, bilateral resection possesses the advaril i icting upon both halves of the scrotum al the same time, and ol giving a cicatrix thai does nol in an} wa; ere with future penile erections. Proceed as f> > r; L. Thi assistant with the fingers of onehand spreads the scrotum to its maximum, and with the fingersof the other band p toward I hi inguinal canal. It is desirable thai neither the testes nor the tunical vaginalisbe traumatized. The operator than, estimates the amount o
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