Identifier: modernsurgerygen1919daco (find matches)
Title: Modern surgery, general and operative
Year: 1919 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery, Operative
Publisher: Philadelphia : Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Cord (Fig. 1024, d).—In this variety thefunicular process is obliterated above and below, but it is patent between thesetwo points and fluid collects. The treatment is the same as that for infantile hydrocele. If this fails,incise and pack. Encysted hydrocele of the testicle and of the epididymis may occur. Diffusedhydrocele of the cord is simply edema of the cord. Hydrocele of a hernia isthe distention of a hernial sac by peritoneal fluid. Hematocele (Fig. 1025).—Vaginal hematocele is blood in the tunica vaginalis,the result of traumatism, a tumor, or the tapping of a hydrocele. There is apyriform swelling which fluctuates, but which gradually becomes firmer; thescrotum is livid and the testicle is below and posterior to the tumor. The en-cysted form of hematocele of the cord is a hydrocele of the cord into which bleedinghas occurred. The diffused form is due to extravasation of blood into the cellu-lar substance of the cord. Encysted hematocele of the testicle is due to effusion
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IiG. 1025.—Acute hematocele of tunicavaginalis the result of traumatism (Hor-witz). Treatment of Varicocele 1549 of blood into an encysted hydrocele of the testicle. Parenchymatous hematoceleis extravasation of blood into the substance of the testicle. The treatment of a recent case of vaginal hematocele is to put the patient tobed, support the scrotum, and apply an ice-bag over the testicle. If the swellingdoes not soon abate, incise, irrigate, and pack. Varicocele is varicose enlargement of the veins of the venous plexus ofthe spermatic cord. The veins are thickened, lengthened, dilated, and con-voluted. The assigned causes are straining, cough, constipation, and an occu-pation requiring prolonged standing. Some believe ungratified sexual desireis a cause. Hereditary predisposition is probable. There are more left-sidedthan right-sided varicoceles, because the right spermatic vein has valves andempties into the vena cava at an acute angle, but the left spermatic vein hasno valves

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