Modern surgery, general and operative . Fig. Q40.—Hydrocele of tunica vaginalis (Horwitz). strangulated hernia, but are less violent, and the bowels, though often muchconstipated, are not obstructed. Treatment.—An incision should be made, and if the twisting was recentand the testicle is not gangrenous, the cord may be untwisted and the testicle fastened to the scrotum by a cat->W~^ gut stitch. If the testicle is gan-grenous it should, of course, beremoved. Scudder tells us thatin 88 per cent, of cases the testicleis found to be gangrenous. Ac-cording to Scudder, there are 32cases on record
Modern surgery, general and operative . Fig. Q40.—Hydrocele of tunica vaginalis (Horwitz). strangulated hernia, but are less violent, and the bowels, though often muchconstipated, are not obstructed. Treatment.—An incision should be made, and if the twisting was recentand the testicle is not gangrenous, the cord may be untwisted and the testicle fastened to the scrotum by a cat->W~^ gut stitch. If the testicle is gan-grenous it should, of course, beremoved. Scudder tells us thatin 88 per cent, of cases the testicleis found to be gangrenous. Ac-cording to Scudder, there are 32cases on record: 31 were operatedupon and i was not, but all re-covered ; in 3 the testicle sloughedand in 2 it atrophied (Annals ofSurgery, Aug., 1901). Vaginal hydrocele {chronichydrocele) (Figs. 940 and 942, e)is a collection of fluid in the tunicavaginalis testis. An enlargementof the testis may cause it {sec-ondary hydrocele), but in mostinstances the cause is unknownand no signs of inflammation exist {primary hydrocele). The fluid is albumi
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