The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . - Vidal de Cassis, and is as fol-lows. The vas deferens, readily distinguished by its round cord-likefeel, is first separated from the veinSy and entrusted to an assistant; 84:3.—Iron Pin for Treatment of Varicocele. next, an iron pin bored with a hole at each end (Fig. 843) is passed be-tween the vas and the veins, and brought out at the point of perforation, Fig. 844.—Needle threaded with Silver Wire. the scrotum being first notched with a scalpel; then a silver wire,threaded on a needle
The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . - Vidal de Cassis, and is as fol-lows. The vas deferens, readily distinguished by its round cord-likefeel, is first separated from the veinSy and entrusted to an assistant; 84:3.—Iron Pin for Treatment of Varicocele. next, an iron pin bored with a hole at each end (Fig. 843) is passed be-tween the vas and the veins, and brought out at the point of perforation, Fig. 844.—Needle threaded with Silver Wire. the scrotum being first notched with a scalpel; then a silver wire,threaded on a needle so constructed that the wire shall follow it without TUMORS OF THE TESTIS. 917. catihing (Fig. 844), is passed in at the aperture of entry of the pin, andcarried between tlie integument of the serotum and the veins, the wirebeing brought out at thesecond puncture (Fig. 845).Each end of the wire is nowpassed through the corre-sponding hole of the pin,which is twisted round andround repeatedly, each turncausing the wire to be rolledaround the pin, and so tight-ened, till the veins are firnil}^compressed between the pinbehind and the loop of wirein front (Fig. 846). By thismeans the scrotum is quitefree and uncompressed, andthere is no danger of ex-citing inflammation or oede-ma. Tiie wire should be tightened from day to day, as it causesulceration in the veins until it has completely cut through, which re-sults, usually, in about a week or ten days. Meanwhile, there is muchplastic matter thrown out around the veins; this finally contracts andobliterates their channels. This method produces an effectual and per-manent cure (Big. 841).
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