File:The pathology and surgical treatment of tumors (1895) (14796908053).jpg

Identifier: pathologysurgica1895senn (find matches)
Title: The pathology and surgical treatment of tumors
Year: 1895 (1890s)
Authors: Senn, Nicholas, 1844-1908
Subjects: Neoplasms Neoplasms Cancer Cancer
Publisher: Philadelphia : Saunders
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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be made. Under strictantiseptic precautions the abdomenis opened to the requisite extentthrough the linea alba. After re-moval of the contents of the cystby tapping the tumor is drawn for-ward into the wound and its pedicleis ligated after transfixion by a doubleligature of silk, and the cyst is sev-ered at a safe distance from the liga-tures, in order to prevent hemorrhage from slipping of the ligatures.The stump should be dusted lightly with iodoform, after which it isreturned into the abdomen and the external incision is closed in theusual manner. If the adhesions are firm, it is advisable to leave theperitoneal covering attached to the adherent organs to prevent visceralinjuries. In aseptic cases drainage may usually be dispensed withunless made necessary by hemorrhage, when a Mikulicz drain shouldbe employed. In closing the abdominal incision the peritoneum andthe fascia of recti muscles should be sutured separately. The silk-wormgut should embrace all tissues except peritoneum.
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Fig. 113.—Anterior portion of a cows vagina,showing two large cysts developed in the terminalsegment of Gartners duct (after Sutton). CYSTOMA. 199 Vagina.—Vaginal cysts, except those resulting from retention ofsecretions, arise from embryonic remnants of the distal part of Gartnersduct (Fig. 113). The writer has removed two such cysts, as large as ahens &%%, filled with mucus. These cysts are lined with stratified epi-thelium. Their enucleation from the vagina is not attended by anyspecial difificulty. Testicle.—Cysts of the testicle were described by Astley Cooper ashydatids, and Curling included them under the general term cysticdisease of the testis. Cystic tumors of the testicle are cysts which aredeveloped independently of pre-existing glandular structures, in con-tradistinction to spermatocele, which forms in consequence of amechanical obstruction interfering with the escape of the physiologicalsecretion of this organ. From the category of cystoma of the tes-ticle must

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