| OCR Text |
Show be nxrmruron or THE BREAST. 8F HYDROCELE. The most unpleasant part of my duty remains, to express my frequent disappointment, and my very moderate expectation of absolute success, and entire eradication of the disease, from this operation, when there has been a confirmed cancer of the breast. When it is going wrong again, hardness or pimples form on the edge of the incision, and tumour arises in the cicatrix, GHAPTER VIII. UP THE IIYDROCELE or in the axilla, or there begins a hardness in the pectoral muscle under the cicatrix, or the glands about the bottom of the neck get diseased. The pulse is slow-the face becomes of a leaden hue, instead of the colour of health, or there is hectic flush-the eye is dull-the lips dry-there are pains over the body-and often there is an excruciating pain of the loins before death-or the breathing is all‘ected-there is a short cough-or while the general health sinks, the stomach retains no nourishment, and there is incessant sickness and , 1 belching, w‘ ill. "3th I); the fourth volume of the Anatomy, I took occasion to explain in general terms the nature of hydrocele. But before proceeding to the operation necessary to be performed for this complaint, I shall, as usual, offer a few preliminary re:marks on the appearance and marks of the disease. The hydrocele begins in a tense and general swelling, ap' parently of the testicle: sometimes succeeding accidental in- . an...» (4.3. ..-.« flammation (_as from a blow, or a bruise on a saddle) which has occasionally subsided, and which has been followed by re laxation and weakness. Most generally the patient can give no account of its cause or origin, but that the swelling of the testicle remained small for years, and of late has more rapidly enlarged. As the swelling enlarges, it rises with somewhat of a pyramidal form, before the vessels of the cord. This peculiar shape of the distended tunica vaginalis, is not owing to the opening of its original communication with the peritoneum (which soon after the descent of the testicle is ob- literated, and degenerates or is changed into the appearance of the common or cellular membrane), but to its being cm. braced and connected with the cord, by the fibres of the cremaster muscle, and by cellular membrane. To the touch, the tumour generally feels elastic in a slight degree, not solid, though sometimes hard and incompressible. In other cases it is soft and lax. Towards the back and lower part of the tumour, the more solid resistance points out to us the seat of the testicle. V01}. 2. T |
