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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    certain whether the fluid is that of Hcematocele or Hydrocele. Were it the former, it might per¬ haps cause some mischief in the cellular tissue. It is not to be depended on even as a palliative mode of treatment in preference to puncturing with a trocar. An aged man laboured under double Hydrocele, conjoined with double Hernia. The Hydrocele of one side was a good deal larger than that of the other. As the Hernia rendered injection unsafe, puncturing was had recourse to. The largest Hydrocele was punctured with a trocar, and the other by a needle. Both suc¬ ceeded so far, and the man went home: in about six weeks he returned with the fluid re-accumu¬ lated on both sides ; but their relative size was different, the one punctured with the needle being a good deal larger than the other one. The needle may be used in young people, and in timid pa¬ tients who dread the trocar ; but except in them, no advantage can be gained by its employment. Hydrocele of the Cord is generally met with in children, and is mostly always encysted. The cyst containing the serous fluid may either be an unobliterated part of the congenital spermatic process, or may be formed by condensation of the loose cellular membrane between the cord and the cremaster muscle. The tumour is generally small, situated midway between the testicle and the groin, of an oblong appearance, tense, and circumscribed. It is slow and gradual in its for-
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