The ingenious technic
of this operation is well worth perusal by those interested.
Goodman successfully removed an elephantiasis of the scrotum from
a native Fiji of forty-five. The tumor weighed 42 pounds, without
taking into consideration the weight of the fluid which escaped
in abundance during the operation and also after the operation,
but before it was weighed. Van Buren and Keyes mention a tumor of
the scrotum of this nature weighing 165 pounds. Quoted by
Russell, Hendy describes the case of a negro who had successive
attacks of glandular swelling of the scrotum, until finally the
scrotum was two feet long and six feet in circumference. It is
mentioned that mortification of the part caused this patient's
ultimate death.
Figure 281 is taken from a photograph loaned to the authors by
Dr. James Thorington. The patient was a native of Fiji, and was
successfully operated on, with preservation of the testes. The
tumor, on removal, weighed 120 pounds.
W. R. Browne, Surgeon-General, reports from the Madras General
Hospital an operation on a patient of thirty-five with
elephantoid scrotum of six years' duration. The proportions of
the scrotum were as follows: Horizontally the circumference was
six feet 6 1/2 inches, and vertically the circumference was six
feet ten inches.
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