Elements of surgery: for the use of students : with plates (Volume 2).

  • Dorsey, John Syng, 1783-1818.
Date:
1818
Catalogue details

Licence: Public Domain Mark

Credit: Elements of surgery: for the use of students : with plates (Volume 2). Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    thra if it exist, but the extirpation of the testicle is not the less necessary because the incurable disease has been excited by a latent principle of irritation in the urethra. The testis is doubtless liable to very numerous dis- eases, some of which have never been sufficiently inves- tigated; one of these is an obstinate sinuous ulcer, which resists every caustic application, and refuses to heal even when all the diseased parts are, to all appearance, dis- sected or burnt out. Another is the fungous tumour which has lately excited some attention, and on which Mr. LaAvrence has recently published a paper which I have not been able to procure. This fungous tumour I have known cured in a variety of cases, by the applica- tion of white oxyd of arsenic (or arsenious acid) a reme- dy, therefore, which I take the liberty to recommend, previously to removing the parts by the knife, which has been the general practice. OPERATION. The extirpation of the testis, when necessary, is an ope- ration by no means difficult. The skin of the scrotum becomes contaminated sooner than any other part in the vicinity, and therefore the first thing, as Mr. Home re- marks, is to mark out that portion of skin which ought to be removed. This being done, the next thing is to dissect out the diseased testicle from its situation in the scrotum, taking care that the incision should always be in the sound and natural parts and that every thing con- nected with the disease is left attached to the testicle it- self. Having gone thus far, the cord is to be examined, and dissected as high up as is necessary to come at a sound part, which, in the exposed state it is now in, de- tached from the skin and surrounding parts, can readily