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Show 144; or nynnocere, AND OF THE SETON. But Sir James Earle tells us of a case in which the surgeon had allowed the trocar to slip from the sac, and still continu. MR. POTT'S OPERATION OF THE SETON. ed to force the injection notwithstanding the resistance he felt to its entrance. The consequence was, that he filled the sort» BEFORE the practice introduced by Sir Jame Earle, of in« jecting the hydrocele, the operation of the seton, as performed by Mr. Pott, was a most valuable remedy. It was thus performed :- The vaginal coat was punctured, and the water drawn ofl‘. Through the canula of the trocar a smaller and a longer canula tum of both sides! Violent inflammation and mortifleation, and slough of the scrotum, followed, and left the testicles bare. The marks of the due degree of inflammation having taken. place, is a general swelling of the testicle, and a slight redness of the scrotum, on the second and third day. The tumour feels as if the disease had rapidly returned, and the coats had filled with fluid. As the inflammation rises, a pain shoots in« to the back and loins. Generally to the fifth day the scrotum is swelled and tenderae. After this period, the inflammation subsides, the tumour becomes softer, and dissipates, and the testicle is again felt. In the annexed plate, I haVe given examples of the total and radical cure for hydrocele, and of the partial adhesion only, and in part the return of the disease. The coats of both these was introduced, and the first withdrawn. This second canu- la was now pushed to the upper part of the empty sac, and held there; and through it a round needle, with a split point, about two inches longer than the canula, was introduced, and pushed out through the integuments, carrying a seton of white silk thread. "we 1;. testicles were injected with port wine and water, some years \m l m; ‘ ‘ "‘"V-i." w "Mum before death. In conversation with Sir James Earle, I found that he had never had an opportunity of demonstrating the nature of the adhesion, though circumstances sufficiently asAuk, certain the fact of adhesion, and the nature and process of the cure. If an operation for hydroeele has failed, I believe it will be found that the water accumulates in a very short time ; and that, on the contrary, if the scrotum continues undistended for three weeks, the cure is confirmed. After the operation, we confine the patient to his room only. If the inflammation slowly advances, it may be promoted by allowingr somewhat more freedom in air and diet. If it comes on rapidly, and threatens a greater degree of swelling and pain than necessary, then he must be put to bed, kept on a re. ginien, and perhaps the parts fomented. . 1" flg' 1' the long 0211111131, A, has been introduced through " But sometimes free of pain. I have seen it remain swelled a fork night. the canula of the trocar, which latter was then withdrawn. The long canula is then introduced to the point. B; then the V0!» Y. 1/? |
