. Manual of operative surgery. s opening(Fig. 901). Beginning at the lower and outer sides of the exposed area, dissectthe superficial inguinal glands, along with the fat surrounding them, upwardsand inwards towards the pubis. Step 4.—Expose and remove the deep inguinal glands. These vary innumber from i to 3. When three are present one lies just below the longsaphenous vein, one in the femoral canal, and one in the femoral ring. Allare to the inner side of the femoral vein. Step 5.—Repeat steps 2, 3, 4 on the opposite side. Incise the skin imme-diately above the root of the penis, uniting by
. Manual of operative surgery. s opening(Fig. 901). Beginning at the lower and outer sides of the exposed area, dissectthe superficial inguinal glands, along with the fat surrounding them, upwardsand inwards towards the pubis. Step 4.—Expose and remove the deep inguinal glands. These vary innumber from i to 3. When three are present one lies just below the longsaphenous vein, one in the femoral canal, and one in the femoral ring. Allare to the inner side of the femoral vein. Step 5.—Repeat steps 2, 3, 4 on the opposite side. Incise the skin imme-diately above the root of the penis, uniting by this cut the two incisions overthe inguinal canals. On each side of the root of the penis make an incision 736 AMPUTATION OF PENIS downwards over the root of the scrotum. Dissect downwards the fat in frontof the pubis, until the crura of the penis are exposed. Divide the suspensoryligament. The results of the work accomplished up to this point are: (a)All the lymphatic glands and tissue which may presumably be affected are. Fig. 902.—Operation of emasculation. dissected free and now hang, along with the spermatic cords and the prepubicfat, attached to the penis and scrotum (Fig. 902). The inguinal canals whichwere opened have been closed. Any wound which may have been made toexpose Scarpas triangle may now be closed.
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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherphila, bookyear1921
