. American practice of surgery ; a complete system of the science and art of surgery . groin. This tumor made its appearance three weeks after operation and 592 AMERICAN PRACTICE OF SURGERY. continued to exist for four months without pus forniation. These masses seemto me to resemble the so-called Holzphlegmone or ligneous abscesses of theneck—an obscure affection of a chronic inflammatory t3^pe, sometimes calledcancroid or cancer-hke, but always ending in recovery. Schaffer observesthat they are of the same type as the desmoids of the abdominal wall (see page83 of the present volume) and have
. American practice of surgery ; a complete system of the science and art of surgery . groin. This tumor made its appearance three weeks after operation and 592 AMERICAN PRACTICE OF SURGERY. continued to exist for four months without pus forniation. These masses seemto me to resemble the so-called Holzphlegmone or ligneous abscesses of theneck—an obscure affection of a chronic inflammatory t3^pe, sometimes calledcancroid or cancer-hke, but always ending in recovery. Schaffer observesthat they are of the same type as the desmoids of the abdominal wall (see page83 of the present volume) and have their origin at some jjoint in the immediatevicinity of a buried ligature, especially at the neck of the sac. No treatment isknown to hasten the disappearance of these masses. They may last months oreven years, but eventually they disappear spontaneously. Cysts, Hydroceles, and Hsematoceles After Herniotomy.—When an adherentsac has been dissected from the femoral or scrotal tissues, the ca^ity thus leftmay become filled with bloody or serous exudate, and a post-operative tumor. Fig. 232. -Method of Sealing Herniotomy Wounds in Young Subjects with Strips of Fabric saturatedwitli flexible collodion or with compound tincture of benzoin. {Original.) maybe the result. Cysts may also form from some portion of the sac, in a scrotalhernia, having been left behind. Such complications are not the rule, and theymay be avoided by using temporary drains or by exerting firm pressure -withbandages. The scrotal part of an inguinal hernia may be left, as is done in theKocher or the OHara operation, or it may be removed entirely, as is easilydone in most cases, by blunt dissection. In very adherent sacs and in con-genital hernias one is compelled to leave it behind. To prevent the forniationof a hydrocele I usually invert it (bottle operation), or insert an iodoformgauze strip through the bottom of the sac to cause adhesive obhteration. Evenif this is not done it is rather exceptional to ha
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