File:The principles and practice of surgery (1872) (14805026623).jpg

Identifier: principlespracti1872hami (find matches)
Title: The principles and practice of surgery
Year: 1872 (1870s)
Authors: Hamilton, Frank Hastings, 1813-1886
Subjects: Surgery General Surgery
Publisher: New York : W. Wood & Co.
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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he operation is made with rapidity, the life of the pa-tient may be endangered by the loss of blood. The bleeding will belessened somewhat by elevating the scrotum a few minutes before theoperation is commenced. The-testes are usually found buried in theupper part of the tumor, and the operation is necessarily prolonged bythe careful dissection required to avoid mutilation of these organs andof the penis. Of 113 cases operated upon at the Medical College Hospital, Cal-cutta, only 21 died. The causes of death were pyaemia in 9 cases, diar-rhoea and exhaustion in 7, shock in 2, tetanus in 2, and gangrene in 1.The tumors varied in size from fifteen ounces to seventy-five pounds, ELEPHANTIASIS OF THE SCROTUM. 8S5 but most of them were small. In four cases operated upon by Clot-Bey in Egypt, the tumors weighed respectively one hundred and ten,seventy, eighty, and sixty-live pounds. All of these recovered. Theconclusion drawn from the results of the above cases, and of others upon Fig. 440.
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Dr. ThebautVs case of Elephantiasis of the Scrotum. record, is that the operation of removal is more dangerous during theearly stage, while the tumor is growing and more or less inflammatory 886 ELEPHANTIASIS OE THE SCKOTUM. action exists, than at a later day, when the growth has ceased, and theinflammation has entirely disappeared. The case reported by Dr. Thebaud is very instructive. The patient,Isaac Newton, was twenty-two years old, and a native of Georgia. In1S59 he had suffered a contusion of the scrotum, causing some swellingand pain, and from this time, for a period of about three years, during Fig. 441.

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