Operative surgery . about the junction of its middle and lower thirds. As the fluid escapes, the end of the can-nula is turned away from the tes-ticle, and the tumor is compressedcarefully to expel the entire fluidcollection. After the fluid is re-moved and the puncture is closed,the scrotum is suspended and the2)atient kept quiet, otherwise inflam-mation of the sac may occur, which,while it may lead to a radical cure,will not be welcome, as it causesmuch pain and confines the patientunexpectedly to bed. The Precautions.—The testicle,the epididymis, or a herniated gutmay be punctured by the tr
Operative surgery . about the junction of its middle and lower thirds. As the fluid escapes, the end of the can-nula is turned away from the tes-ticle, and the tumor is compressedcarefully to expel the entire fluidcollection. After the fluid is re-moved and the puncture is closed,the scrotum is suspended and the2)atient kept quiet, otherwise inflam-mation of the sac may occur, which,while it may lead to a radical cure,will not be welcome, as it causesmuch pain and confines the patientunexpectedly to bed. The Precautions.—The testicle,the epididymis, or a herniated gutmay be punctured by the trocar, un-less the exact location of the fluidhas been determined by transmittedlight. A blunt trocar, or an ill-fittingcannula, or a halting thrust may pusha thickened tunica vaginalis in front of the instrument. The puncture of avein of scrotal tissue will cause extravasation and extensive ecchymosis ofthe scrotal structure. An infected trocar may cause extensive inflammationand slouffhinff of the scrotal Fig. 1426.—Bilocular hydrocele. /. c. Parie-tal layer of tunica, s. Spermatic h. Epididymis, h. Testis, d. Cavityof diverticulum, t. v. Cavity of thetunica vaginalis proprius. z, z. Inflam-matory new formation between the vis-ceral and parietal layers. ()IKJ{ ON THE SCliOTLM AM) IKNIS. 1-211 The Results.—A repetition of the openatioii will probably be required infour or six months, luul perhaps sooner. The redundant scrotum due tooverdistcntion will soon apjirdxiiuate the normal dimensions. The Radical Measures of Treatment.—The radical measures of treatmentare injection, incision, and excision of more or less of the parietal layer ofthe sac. The Treatment by Injection.—The treatment by injection usually beginsafter the evacuation of the sac by tapping. The fluids recommended for thepurpose are (piite numerous, among which the preparations of iodine and ofcarbolic acid (Levis)—especially the latter—are i)referred. However, rectifiedspirit
Size: 1649px × 1515px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
