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May 5, 1888


JAMA. 1888;X(18):554-556. doi:10.1001/jama.1888.02400440014002

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Radical Cure of Hydrocele by Excision of Tunica Vaginalis.  Dr. W. W. Keen reports a successful case, in the Medical News of April 7, 1888, and says:Until recently various methods of injection, especially by iodine or carbolic acid, have been the chief and almost the only means employed in the treatment of hydrocele. They have the great advantage that but few deaths can be laid to the use of iodine, and none, I believe, to carbolic acid. But they have several disadvantages.First, that of recurrence. In over eight per cent. of the cases treated by iodine, recurrence takes place, and this misfortune sometimes even occurs a second time. Carbolic acid has been much less widely used, but its promise as to freedom from recurrence is much better than iodine, and if injection be the method chosen, this would seem to be the preferable one.Secondly. In a large

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