It happens when the Intestinal Parts fall into the _Scrotum_ in Men, or into the bottom of the Lips of the _Matrix_ in Women. To perform this Operation, the Patient must be laid upon his Back, as in the _Bubonocele_, and the Incision carry'd on after the same manner; which is to {238} be made in the _Scrotum_, tearing off the Membranes to the Intestine. Then a Search will be requisite, to observe whether any parts stick to the Testicle; if the Caul doth so, it must be taken off, leaving a little Piece on the Testicle; but if it be the Intestine, so that those Parts cannot be separated without hurting one of 'em, it is more expedient to impair the Testicle than the Intestine. If the Caul be corrupted, it must be cut to the sound Part, and the Wound is to be dress'd with Pledgets, Bolsters, and the Bandage _Spica_; as in the _Bubonocele_. * * * * * CHAP. XIV. _Of the Operation of _Castration_._ The Mortification or the _Sarcocele_ of the Testicles, gives occasion to this Operation; to perform which, the Patient must be laid upon his Back, with his Buttocks higher than his Head, his Legs being kept open, and the Skin of the _Scrotum_ taken up, one end of which is to be held by a Servant, and the other by the Surgeon, who having made a longitudinal Incision therein, or from the top to the bottom, slips off the Flesh of the _Dartos_ which covers the Testicle, binds up the Vessels that lie between the Rings and the Tumour, and cuts 'em off a Fingers breadth beneath the Ligature: But care must be taken to avoid tying the Spermatick Vessels too hard, for fear of a Convulsion, and {239} to let one end of the Thread pass without the Wound. If an Excrescence of Flesh stick to the Testicle, and it be moveable or loose, it is requisite to take it off neatly, leaving a small Piece of it on the Testicle; and if any considerable Vessels appear in the Tumour, they must be bound before they are cut. _The Dressing and Bandage._ The Dressing is made with Pledgets and Bolsters laid upon the _Scrotum_; and the proper Bandage is the _Suspensor_ of the _Scrotum_, which hath four Heads or Ends, of which the upper serve as a Cincture or Girdle; and the lower passing between the Thighs, and fasten'd behind to the Cincture. There is also another Bandage of the _Scrotum_, having in like manner four Heads, of which the upper constitute the Cincture; but it is slit at the bottom, and hath no Seams; the lower Heads crossing one another, to pass between the Thighs, and to be join'd to the Cincture. Both these sorts of Bandages have a Hole to give Passage to the Yard. * * * * * {240} CHAP. XV. _Of the Operation of the Stone in the_ Ureter.