Operative surgery . ce on the position of the intestine ofdorsal decubitus are the better determina-tive means of the latter conditions. In a t)inocular hydrocele (Fig. 1426) aconstricted part of the vaginal process ly-ing in the inguinal canal separates a hydro-cele of the tunica vaginalis from a dis-tended vaginal process above, shut off from the peritoneal cavity. Fromchange in posture or alternating pressure above and below a variation in thesizes of the respective enlargements can be seen. The Palliative Treatment.—The palliative treatment relates to the evacu-ation of the fluid from time
Operative surgery . ce on the position of the intestine ofdorsal decubitus are the better determina-tive means of the latter conditions. In a t)inocular hydrocele (Fig. 1426) aconstricted part of the vaginal process ly-ing in the inguinal canal separates a hydro-cele of the tunica vaginalis from a dis-tended vaginal process above, shut off from the peritoneal cavity. Fromchange in posture or alternating pressure above and below a variation in thesizes of the respective enlargements can be seen. The Palliative Treatment.—The palliative treatment relates to the evacu-ation of the fluid from time to time, as recurring distention demands, bytapping. Comfort rather than cure is sought for, as this measure rarelyindeed cures the affection, unless acute inflammation supervenes. Strictasepsis should be practiced in tapping, to obviate unbidden inflammatorysequels. Tapping.—Tapping is a simple process, requiring a small trocar andcannula, or an aspirating needle, or an instrument of a similar nature. The 1209. Fi(i. 1421.—Usual form of hydrocele. 1210 OPERATIVE SURGERY. patient is caused to sit upright on tlie edge of a chair witli the limbs sepa-rated, or to lie on a lounge, and the enlargement is seized by the left handand the tissues made tense over its anterior surface. The testicle is care-
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