File:The practice of surgery (1910) (14779010882).jpg

Identifier: practiceofsurger00mumf (find matches)
Title: The practice of surgery
Year: 1910 (1910s)
Authors: Mumford, James Gregory, 1863-1914
Subjects: Surgery
Publisher: Philadelphia and London, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 300.—Bevans operation—step 3. Showing vaginal process cut across above testis. process (the large peritoneal sac containing the testes, and continuouswith the.peritoneal cavity). Open the sac, expose the testicle, and re-
Text Appearing After Image:
Fig. 301.—Bevans operation: 1,Upper end of vaginal process of peri-toneum ligated; 2, purse-string sutureclosing lower end of vaginal process andforming a tunica vaginalis for the testicle(Bevan in Keens Surgery). Pig. 302.—Bevans operation. Cordlengthened and testicle freed and readyfor replacement; 2, the spermatic vessels;3, the vas deferens (Bevan in Keens Sur-gery). duce any hernia which may be present. Then cut across the vaginalprocess above the testicle and secure the proximal stump as in the case UNDESCENDED TESTICLE 467 of a hernia. Sew up the distal portion of the vaginal process about thetesticle, and so furnish that organ with a tunica vaginalis. It nowremains to bring the testicle into the scrotum, and this is done by aprocess of traction on the cord and the division of retaining bands.To this end the cord is stripped up, leaving nothing but the vessels andthe vas, which in turn must be separated carefully from the parietalperitoneum. By this means, in nearly all cas

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