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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e brought down into proper position. For cen-turies surgeons have endeavored to correct the deformity of undescended ^ Walter B. Odiorne and Channing C. Simmons, Ann. Surg., 1904, vol. xl, p. 962,present an admirable resume of this subject. UNDESCENDED TESTICLE 465 testicle, but with varying success. Certain procedures, however, havecome to be regarded as serviceable, and in some half-dozen instancesI have been satisfied to follow the technic of Bevan, who has operatedsatisfactorily on a large series of cases.^ Bevan points out that, forclinical purposes, we may divide the condition of undescended testicleinto four groups: 1. Simple failure of the vaginal process to close, giving us the pictureof a congenital inguinal hernia. 2. Incomplete closure, complicated with such conditions as hydro-cele of the cord. 3. Undescended testis, which presents four types: (a) in the ab-domen in about its original position: (b) at the internal ring; (c) in thecanal; (c/) external to the external ring.
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Fig. 298.—Bevans operation. Inci-sion through skin (3), superficial fascia(4), and external oblique (1); 2, cremas-teric fascia (Bevan in Keens Surgery). Fig. 299.—Bevans operation: 1,Point where vaginal process of perito-neum is cut; 2, vaginal process open, ex-posing the testicle; 3, testicle (Bevan inKeens Surgery). 4. Misplaced testicle: (a) in the perineum; (b) on the thigh belowPouparts ligament. He further points out that statistics show the deformity to occur atleast once in 500 male children. Bevan asserts also that an operation to bring the organ down intothe scrotum practically always is possible, and that there are few casesin which an operation is not indicated. As I have stated, I limit myoperations for proper placing of the organ to the case of boys, and believestrongly that the undescended testicle in a man should be excised. Bevans operation for undescended testicle is performed as follows—and the sketches adapted from Bevans article will illustrate the theme: A

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