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December 25, 1909


JAMA. 1909;LIII(26):2149-2150. doi:10.1001/jama.1909.92550260001001c

There is nothing new about a radical idea in the treatment of hydrocele of the tunica vaginalis testis; that condition which Virchow mentions as the most pei feet example of exudation cyst. Almost fifty years ago Gross wrote on excision : "It is of the greatest antiquity, and was revived by Mr. Douglass, of England, in 1755." Since Gross' time various authors have written more or less concerning so-called radical treatment, but surgeons do not seem to have been actively interested in the matter until 1885, when von Bramann published the suggestion of Professor von Bergmann that the sac be excised. It was first to be opened and then its wall isolated as far as the testicle, or, in Bramann's own word's, "bis an den Hoden," showing that a complete extirpation of the sac was not even attempted by the originator of the procedure.

Various authors state that there have

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