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This Concept Map, created with IHMC CmapTools, has information related to: Procedure, the cremester muscle is ruptured using steady traction then the newberry tool is placed over the vessels and scrapped till the vessels rupture (DO NOT CUT), A strangle ligature is placed to ligate the vessels within the cord and secured with square knots lastly the emasculator is then applied 'nut-to-nut' (close to the ligature) to crush the vessels and spermatic cord as well as cut away the testicles (crushed for 1 minute), 2 vertical inscisions are made into the scrotum lateral to each testicle, adjacent to the legs. then A testicle is then retracted out of the scrotum with even tension till the cremaster muscle separates., A testicle is then retracted out of the scrotum with even tension till the cremaster muscle separates. if the tunic is NOT incised OPEN-CLOSED the tunica vaginalis is left intact around the cord, OPEN-CLOSED the tunica vaginalis is left intact around the cord tools/techniques used include Henderson's tool, Using the Emasculator after removing tunica firstly A haemostat is then placed as far proximally on the cord as possible, the stump is examined for bleeding and then allowed to slip back into the inguinal cannal then repeat for the next testicle, By grasping the distal most part of the scrotum(use a hemostat) and pulling caudally, then cutting away the distal part scrotal skin without cutting the testicles then A testicle is then retracted out of the scrotum with even tension till the cremaster muscle separates., Newberry tool lastly the stump is examined for bleeding and then allowed to slip back into the inguinal cannal, OPEN-OPEN the tunica vaginalis is inscised and the testicles removed by blunt separation then pushed up into the inguinal cannal tools/techniques used include Newberry tool, OPEN-OPEN the tunica vaginalis is inscised and the testicles removed by blunt separation then pushed up into the inguinal cannal tools/techniques used include Traction, Henderson's tool lastly the stump is examined for bleeding and then allowed to slip back into the inguinal cannal, the henderson tool is attached to a drill, then clampe firmly onto the cord followed by the drill is used to rotate the cord till it eventually ruptures and the testicle comes off, A testicle is then retracted out of the scrotum with even tension till the cremaster muscle separates. if the tunic is incised OPEN-OPEN the tunica vaginalis is inscised and the testicles removed by blunt separation then pushed up into the inguinal cannal, Traction lastly the stump is examined for bleeding and then allowed to slip back into the inguinal cannal, the cord is wrapped aroud your finger and steady traction is applied till the vessels rupture and snap back into the cannal works by this technique depends on the esacticity of the testicular artery which when snapped recoils and decreases bleeding, Using the Newbberry's tool firstly the cremester muscle is ruptured using steady traction, OPEN-OPEN the tunica vaginalis is inscised and the testicles removed by blunt separation then pushed up into the inguinal cannal tools/techniques used include Henderson's tool, OPEN-CLOSED the tunica vaginalis is left intact around the cord tools/techniques used include Emasculator, A haemostat is then placed as far proximally on the cord as possible then A strangle ligature is placed to ligate the vessels within the cord and secured with square knots