Elephantiasis orientalis, and specially elephantiasis genitalis, in Bengal / by Allan Webb.

  • Webb, Allan
Date:
1855
Catalogue details

Licence: Public Domain Mark

Credit: Elephantiasis orientalis, and specially elephantiasis genitalis, in Bengal / by Allan Webb. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    16/60 (page 14)
    divided and the penis exposed. Having cleared the penis from the surrounding parts, it was raised by an assistant and there secured. Next the testicles were dissected out from the tumour by some longi- tudinal incisions made on each side : when the testicles were exposed, they were raised by assistants, placed on each side, and held up firmly. At last the whole of the tumour was removed by one sweep of a long catlin. The testicles were found enlarged from previous hydrocele, and the water was let out by two punctures. A portion of the tunica vaginalis of the left testicle was thickened and calcarious, and consequently it was removed. The operation w as performed within five minutes, and with little loss of blood. The bleeding vessels were soon secured by ligatures. The part was dressed with lint soaked in sweet oil. Strapping of soap plaster- tow teazed applied, and T bandage over it. After the operation, patient’s pulse continued firm and regular. Slept soundly with very little pain,— had one or two attacks of fever. Treatment.—Purgatives, quinine dose gr. v. internally, tinct. iodine application, and bandage to the leg and arm. After the operation the dress- ing was not changed for two days, then turpentine and resin dressing. For the flatulence, ol. ricini. §j, tinct. opii. tt|. x., tinct. zingiber 3ss., aqua, menth. pip. §j., quinine mixture, three times a day. On the 25th, water dressing with caustic application, occasionally. For the erection of penis, camphor gr. ij., extr. hyosciami gr. v. j. at night. Subsequently. Hydrodate of potass mixture. Diet.—Low, middle, full. Ejf ect .— Nearly well when he left the hospital. Kussick C. Paul, Dresser. Of Elephantiasis Genitalis, coincident with the same dis- ease in the legs or arms, I have met many instances, best understood in their general aspect from the drawings. But it would only weary the reader to adduce more cases. Those I have given above may suffice to prove the concur- rence of extensive fatty degenerations of internal organs with the external manifestation of Elephantiasis, and to establish the three propositions recorded at page 3. I now proceed to the main subject of this paper, and the cases which follow will also throw light upon the general disease. ELEPHANTIASIS GENITALIS, Both from its common occurrence in Bengal, and from the miseries which it entails, as well as from these grave dege- neracies of important internal organs which it apparently induces, occupies a formidable position in general Indian Pathology.