. Abdominal hernia : its diagnosis and treatment. Double retained testes associated with double cougeitilal lieniia. cancer of the testicle, as stated by some writers, has not beenborne out by the authors experience. A testicle may bepermanently retained within the canal by truss pressure, but ifthere is sufficient length of cord to allow of it. slipping beneaththe truss pad is prettv sure to occur, and at such times is liableto produce the most excruciating pain. In the case illustrated in fig. 86 a young married man oftwenty-eight years of age had enjoyed perfect health in every TRUSS-FITTIN
. Abdominal hernia : its diagnosis and treatment. Double retained testes associated with double cougeitilal lieniia. cancer of the testicle, as stated by some writers, has not beenborne out by the authors experience. A testicle may bepermanently retained within the canal by truss pressure, but ifthere is sufficient length of cord to allow of it. slipping beneaththe truss pad is prettv sure to occur, and at such times is liableto produce the most excruciating pain. In the case illustrated in fig. 86 a young married man oftwenty-eight years of age had enjoyed perfect health in every TRUSS-FITTING. 179 respect except the defect under consideration. Both testicleswere retained within the canals. At times one or Ijoth wouldslip outside the external ring and he would then suffer extremetorture until he was able to reduce them to the canal. On theother hand, if he abandoned truss-wearing-, he was subject tosymptoms of strangulated hernia. Between these two Fig. 87. i/H,-^. f ?yh---:^r^j^a Double retained testes. Same as Fig. 86 witii truss removed. Showing efiecls of extreme pressure. dilemmas he found truss-wearing the safer, and the truss shownon him seemed to be the best for his use. Examination of thephotograph, with the truss removed (fig. 87), shows the resultof the extreme pressure necessary to retain the testicles withinthe canals. This case was subsequently operated upon. De-layed testes may, in some few instances, be retained in the canalunder truss pressure for years with comparatively little trouble,and then become so irritable as to necessitate the abandonment 180 ABDOMINAL HERNIA. of the support. One patient, sixty years of age, had through-out his Hfe worn a truss that retained the testicle in the canal,but the organ finally persisted in slipping under the pad andeventual!} tlescended into the top of the scrotum at that lateperiod in life. .V small, deep truss pad was adjusted so as tocompress the upper part of the canal, retaining the
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