A Practical System of Surgery; By James Latta, Illustrated with Cases on Many of the Subjects, and with Copperplates. in Three Volumes. - Softcover

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1793. Excerpt: ... came delirious on the seventh day, and died that evening. SECTION II. HYDROCELE Of THE TUNICA VAG1NAL1S. In an healthy state of the body there is always a small quantity of fluid found in the cavity of this tunic. It exhales from the capillary arteries, and the superfluous quantity is absorbed by vessels appointed for that purpose; that which remains being of use to prevent the tunica albuginea and vaginalis from growing together; but when by any means the absorption is prevented, an accumulation naturally takes place. This may happen at any time of lise; nay sometimes children are born with it. We are not as yet able to determine with certainty the cause of this disease; though as in it the spermatic vessels are very often found varicose, Ruysch has conjectured that such a state of these vessels produces the disease. In general we are certain that whatever causes prevent the due absorption of the liquid aboveinentioned, must likewise produce this kind of hydrocele; and, when these causes operate with great great violence, as in the case of bruises and hurts, the disease will come dn very suddenly, and increase to a great bulk in a very short time. The hydrocele of the vaginal coat, when produced by any internal cause, discovers itself by a fulness about the inferior part of one of the testicles, the parts growing gradually more tense as the disease advances; and the shape of the tumor itself changing from globular to pyramidal. At first it is soft and compressible, but cannot by any means be made to disappear entirely; and, as the disease advances, it proceeds gradually upwards even to the abdominal muscles, so that the spermatic process cannot at all be distinguished. It is not attended with any pain, unless very large, when the weight of the tumor, occ...

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