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Show ltd or THE cum; BY INCISION. or THE CURE Br moisten. stiletto (3 is introduced, and pushed through the integuments at B, and the seton is drawn through the canula (and of course 1‘0 the surgeon, the operation is easy; but to the patient se tore, when compared to the complaint. without rubbing on the surface of the testicle). On the second day from this operation, the scrotum is swelled and inflamed. The inflammation goes too high, and must often be reduced by fomentation-by laxatives and regimen. No further dressing is required than a general support to out of the question. decreasing, (viz. about the twelfth day) the threads of the setou are successively withdrawn. most manageable. But 1 have had no experience of it; and modern authority is entirely in favour of the cure by injection. sac be ossified: a specimen of which I have in my collection. And as to the slipping out of the testicle from the scrotum, in consequence of this operation, I have never seen it, and can hardly imagine it. Nothing but the utmost degree of care- lessness can have occasioned any bad consequence from this operation. . 01" THE OPERATION BY INCISIONa The dressings may be removed on the third day. When suppuration is established, the dressing is only insinuated ber L'nnciiiy apparatus necessary, is a scalpel and history, the t nnnnon pocket-case of instruments, a little lint, and oil. The patient is seated on a firm table. Bringing him to the edge of the table, you grasp the scrotum behind, making the fore part tense, and beginning near the upper part oi the ,.3..._..,~_-..v ac. .-.~ the scrotum. To talk about removing parts of the sac, when most par- ticularly diseased, or when it has lost its tone! is altogether When the inflammation has arisen to the due extent, and is fl priori, I should have said, that this was the best of all the operations for hydrocelc; the neatest, the easiest, and the Mil" 147 tumour, the knife is drawn to the bottom of the scrotum, cutting the integuments and exposing the vaginal coat, touching the upper part of the incision again with the edge of the knife, until the sac be quite exposed, and the cellular membrane retracted, you puncture it with the knife; and, introducing the fore linger, you run down the history or knife, so as to cut the vaginal coat down to the bottom of the scrotum. The linger is as a directory, and at the same time keeps baei: the testicle from the knifees. The vessels do not require the ligature. A piece of lint soaked in fine oil is introduced betwixt the lips of the wound, and a corner pushed up to the top of the sac, while a slip of dressing, pith common cerate, is laid along the edges of the wound. ' In some cases, the vas deferens has taken. its course on the fore putt "H ‘2»; sac No such thing is necessary, unless the twixt the lips of the wound. Xsell. In three wee gs. the parts ar.n |