. Modern surgery, general and operative. without provisionfor drainage. A good plan is toincise the sac, dry its interior bybits of gauze, swab it out withpure carbolic acid, pack it withiodoform gauze, and dress it anti-septically. The packing is re-moved in twenty-four hours andthe wound is allowed to close. Inmost cases I prefer this the sac is rigid and will not col-lapse, either stitch it to the skinand pack it or excise a large portionof its parietal layer and insert adrainage-tube {Volkmanns oper-ation). Another plan is to tap thesac with a trocar and cannula, leav-ing the can
. Modern surgery, general and operative. without provisionfor drainage. A good plan is toincise the sac, dry its interior bybits of gauze, swab it out withpure carbolic acid, pack it withiodoform gauze, and dress it anti-septically. The packing is re-moved in twenty-four hours andthe wound is allowed to close. Inmost cases I prefer this the sac is rigid and will not col-lapse, either stitch it to the skinand pack it or excise a large portionof its parietal layer and insert adrainage-tube {Volkmanns oper-ation). Another plan is to tap thesac with a trocar and cannula, leav-ing the cannula in place as a drainfor some days, and dressing anti-septicaUy. Longuets operation is easy and is advocated by many surgeons. It iscalled extraserous transposition of the testicle. It was introduced by Longuetin 1898 (Progres Med., Sept. 21, 1901). Doyen and Winklemann do a simi-lar operation. Jaboulay, too, advocates spHtting the sac and turning it insideout. He folds it around both the testicle and cord and stitches it so that the. Fig. 1023.—^Hydrocele en bissac. Thishydrocele extends up the cord into the inguinalcanal and to the internal abdominal ring (Hor-witz).
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