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April 7, 1906


JAMA. 1906;XLVI(14):1033. doi:10.1001/jama.1906.62510410035010a

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The cure of hydrocele by injection with carbolic acid has obvious advantages over the cutting operations. Its serious defects have been (1) uncertainty of a cure, (2) unintentional injection of the acid into the scrotal tissues. Recurrence resuits from failure to destroy the serous surface, and this in turn from incomplete removal of the albuminous hydrocele fluid, an adherent layer of which protects the serous surface from the caustic effect of the acid.

These defects are remedied by the following method with the instrument herewith pictured, whose distinctive feature is the window in the canula.

METHOD OF USE.  The distended scrotum is transfixed from above downward; after withdrawal of trocar and escape of fluid, the lower end of the canula is closed by the cap and the sac is distended with warm salt solution injected through the upper end. Removal of the cap allows the solution to escape; and this

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