A probationary essay on hydrocele / [Archibald William Cockburn].

  • Cockburn, Archibald William, 1814-1862.
Date:
1838
Catalogue details

Licence: Public Domain Mark

Credit: A probationary essay on hydrocele / [Archibald William Cockburn]. Source: Wellcome Collection.

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    IS the presence of the former disease.) Our treat¬ ment here will be the application of leeches and poultices, so long as the acute symptoms are pre¬ sent, and, upon their subsidence, applications cal¬ culated to promote absorption. These remarks upon Ilocmatocele apply to those forms of the disease produced either in the cellu¬ lar tissue, or in the tunica vaginalis, by external violence, and to the effusion of blood produced in the cellular tissue by the operation for Hydro¬ cele. But sanguineous effusion into the vaginal tunic follows the operation for Hydrocele, without any wound being inflicted on the vessels by the trocar. In tapping a Hydrocele for the second time, we occasionally find the fluid, instead of being clear and of the same straw colour as it was at the first operation, of a dark and bloody appear¬ ance. Instead of a Hydrocele, we find a Hoema- tocele; and at the same time we recollect that at the previous tapping the fluid which escaped was unmixed with blood, thereby showing that no vessel had been wounded : sanguineous effusion from, or spontaneous rupture of the vessels, must therefore have taken place to produce this differ¬ ent appearance and character of the fluid. Of these two the latter is the case. The rupture is owing to the sudden removal of pressure from the previously distended cavity. When the fluid is evacuated, the tunica vaginalis collapses, its dilated vessels give way, and blood is poured out. Fresh and speedy effusion of serous fluid, to some extent
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