The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . the sac and its contents, eitlier by broad bands, orelse by bridging across from one side to the other, and enclosing a por-tion of the viscera. In recent cases these adhesions are soft, and mayreadily be broken down; l>ut when of longer duration, they are oftenverj dense, and are especially Arm about the neck of the sac. Besides the viscera, the hernial sac always contains a certain quantityof Jluid secreted by and lul)ricating its interior. In most cases, thisis in but small quantitj^; but i
The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . the sac and its contents, eitlier by broad bands, orelse by bridging across from one side to the other, and enclosing a por-tion of the viscera. In recent cases these adhesions are soft, and mayreadily be broken down; l>ut when of longer duration, they are oftenverj dense, and are especially Arm about the neck of the sac. Besides the viscera, the hernial sac always contains a certain quantityof Jluid secreted by and lul)ricating its interior. In most cases, thisis in but small quantitj^; but in some instances, when the sac is in-flamed, or the hernia strangulated, a very considerable bulk of liquidhas been met with ; I have seen as much as a pint escape from a largehernia in an old man. When abundant, it is generally of a brownishcolor, though clear and transparent; it is met with in largest quantitiesin inguinal hernia. Hydrocele of the HernialSae.—In some instances the fluid becomescollected in a kind of cyst within the sac, formed by the omentum contract-VOL II 38 694 HERNIA,. Fig. 671.—Hydrocele ofHernial Sac. ino; adhesions to its upper part, and leaving space below for the fluid tocollect, in which this accumulates between the omentum above andtlie wall of the sac below ; this condition, repre-sented in the annexed drawing (Fig. 671), hasbeen called Hydrocele of the Hernial Sac, andconstitutes a somewhat rare form of fluid is often in considerable quantity; in acase whi(;h I tapped some years ago, nearly tlireepints of dark-brown liquid had thus accumulated,and were drawn otf. If we limit the term hydrocele of the hernialsac to those cases in which tliere is a slow andgradual accumulation of fluid at the bottom ofan old hernial sac, which lias been cut oflT fromall communication with the peritoneum either bythe radical cure of the hernia, or by the adhesionof intestine or omentum to the upper part andneck of the sac, it must be considered a rar
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