Research Article
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Outcomes after eversion of sac and subtotal excision of sac in cases of primary hydrocele

Year 2022, Volume 6, Issue 4, 449 - 454, 01.04.2022
https://doi.org/10.28982/josam.742479

Abstract

Background/Aim: Hydrocele is a common disease worldwide, and an effective treatment for it is surgery. The commonly performed procedures for its treatment are a) excisional technique — subtotal excision of the sac and b) Jaboulay’s procedure — eversion of the hydrocele sac. This study aimed to evaluate the merits and demerits of eversion of the sac versus subtotal excision in terms of complications, postoperative hospital stays, and recurrence rate. Methods: This prospective study was conducted at a large surgical center. Patients who presented with scrotal swelling and were diagnosed as primary hydrocele cases constituted the study population (100 in all). Subtotal excisions or eversions of the sac were performed depending on the type of hydrocele encountered preoperatively. Follow-up was done at 1week, 1 month, 3 months, and 6 months postoperatively. Results: Eversion of the sac was done in 70 cases, and subtotal excision was done in 30 cases. Incidence of edema, intense pain, and hematoma formation was higher in the group undergoing excision of the sac compared to those undergoing eversion of the sac. The average postoperative hospital stay was 3–5 days in the eversion group. The average postoperative hospital stay was 7–9 days in the subtotal excision group. No recurrence was noted in either of the study groups during the stays study period. Conclusion: Eversion of the sac was associated with fewer postoperative complications, minimal tissue handling, and good hemostatic control compared to subtotal excision of the sac. Patients who underwent eversion of the sac received earlier discharge than those undergoing a subtotal excision of the sac for primary vaginal hydrocele.

References

  • 1. Babu BV, Mishra S, Nayak AN. Marriage, Sex, and Hydrocele: An Ethnographic Study on the Effect of Filarial Hydrocele on Conjugal Life and Marriageability from Orissa, India. PLoS Negl Trop Dis. 2009;3(4):e414. doi: 10.1371/Journal.pntd.0000414.
  • 2. Ku JH, Khim ME, Lee NK, Parle YH. The excisional plication and internal drainage techniques: A comparison of the results for idiopathic hydrocele. BJU Int. 2001 Jan;87(1):82-4. doi: 10.1046/j.1464-410x.2001.00022.x
  • 3. Das S. Textbook of General Surgery: Treatment of hydrocele. India: SD Publisher; 2006.pp.1280-1284.
  • 4. Flower CG. Treatment of Hydrocele. In: Williams NS, Christopher JKB, O’Connell PR, eds. Bailey and Love’s Short Practice of Surgery. London; Hodder Arnold; 2008. pp.1381-2.
  • 5. Ananthkrishnan N, Pani SP. Surgery For Vaginal Hydrocele: an update.Indian Jour. Urology. 2005;21:35-8. doi:10.4104/0970-1591.19549
  • 6. Shenoy SP, Shankar M, Marla PK, Saber. New Minimal access hydrocelectomy. Urology. 2011;77:487-90.
  • 7. Frank A, Celigoj, Raymond A. Costabile Surgery of the Scrotum and seminal vesicle. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. Philadelphia: Elsevier; 2015. pp. 946-7.
  • 8. Undre AR. Treatment of primary hydrocele. JIMA. 1956;47:224.
  • 9. Jachowski Jr LA, Gonzalez-Flores B, Lichtenberg FV. Filarial Etiology of Tropical Hydroceles in Puerto Rico. Amer Jour Tropical Medicine and Hygiene. 1962 Mar;11(2):220-33. doi: 10.4269/ajtmh.1962.11.220
  • 10. Agbakwuru EA, Salako AA, Olajide AO, Takure AO, Eziyi AK. Hydrocelectomy under Local Anesthesia in a Nigerian Adult Population. African Health Science. 2008;8(3):160-2.
  • 11. Paderla A. Surgery for Hydrocele in Adults. British Journal of Surgery.2005Dec; 73(1):77-8.
  • 12. Reddy RSN, Srinivas A. The Lord Operation for Radical Cure of Hydrocele. Ind Jour Surg. 1973 Mar;35:136.
  • 13. Lord MD. A Case of Abdomino Scrotal Hydrocele en bissac. British Journal of Surg. 1959 May;46:645. doi: 10.1002/bjs.18004620022
  • 14. Efron G, Sharkey GG. The Lord Operation for Hydrocele Surgery. Gynaecology and Obstetrics. 1967 Sep;125(3):603-6.

Details

Primary Language English
Subjects Surgery
Journal Section Research article
Authors

Rajeev RANJAN KUMAR This is me
Surgical division, 7Air Force Hospital, Uttar Pradesh, India
0000-0002-9199-5159
India


Vikram TREHAN This is me
0000-0001-5466-8442
India


Hari MOHAN (Primary Author)
7 Air Force Hospital,Uttar Pradesh,India
0000-0001-8858-2233
India


Anurakshat GUPTA This is me
0000-0003-0336-2018
India


Tinku ANTONY This is me
0000-0003-3256-9421
India


Amit CHHİKARA This is me
0000-0002-7523-1036
India


Suraj KUMAR S This is me
0000-0002-5740-946X
India


Kishore K This is me
0000-0002-3075-7800
India

Publication Date April 1, 2022
Published in Issue Year 2022, Volume 6, Issue 4

Cite

Bibtex @research article { josam742479, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2022}, volume = {6}, pages = {449 - 454}, doi = {10.28982/josam.742479}, title = {Outcomes after eversion of sac and subtotal excision of sac in cases of primary hydrocele}, key = {cite}, author = {Ranjan Kumar, Rajeev and Trehan, Vikram and Gupta, Anurakshat and Antony, Tinku and Chhikara, Amit and Kumar S, Suraj and K, Kishore} }
APA Ranjan Kumar, R. , Trehan, V. , Mohan, H. , Gupta, A. , Antony, T. , Chhikara, A. , Kumar S, S. & K, K. (2022). Outcomes after eversion of sac and subtotal excision of sac in cases of primary hydrocele . Journal of Surgery and Medicine , 6 (4) , 449-454 . DOI: 10.28982/josam.742479
MLA Ranjan Kumar, R. , Trehan, V. , Mohan, H. , Gupta, A. , Antony, T. , Chhikara, A. , Kumar S, S. , K, K. "Outcomes after eversion of sac and subtotal excision of sac in cases of primary hydrocele" . Journal of Surgery and Medicine 6 (2022 ): 449-454 <https://jsurgmed.com/en/pub/issue/69115/742479>
Chicago Ranjan Kumar, R. , Trehan, V. , Mohan, H. , Gupta, A. , Antony, T. , Chhikara, A. , Kumar S, S. , K, K. "Outcomes after eversion of sac and subtotal excision of sac in cases of primary hydrocele". Journal of Surgery and Medicine 6 (2022 ): 449-454
RIS TY - JOUR T1 - Outcomes after eversion of sac and subtotal excision of sac in cases of primary hydrocele AU - Rajeev Ranjan Kumar , Vikram Trehan , Hari Mohan , Anurakshat Gupta , Tinku Antony , Amit Chhikara , Suraj Kumar S , Kishore K Y1 - 2022 PY - 2022 N1 - doi: 10.28982/josam.742479 DO - 10.28982/josam.742479 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 449 EP - 454 VL - 6 IS - 4 SN - -2602-2079 M3 - doi: 10.28982/josam.742479 UR - https://doi.org/10.28982/josam.742479 Y2 - 2022 ER -
EndNote %0 Journal of Surgery and Medicine Outcomes after eversion of sac and subtotal excision of sac in cases of primary hydrocele %A Rajeev Ranjan Kumar , Vikram Trehan , Hari Mohan , Anurakshat Gupta , Tinku Antony , Amit Chhikara , Suraj Kumar S , Kishore K %T Outcomes after eversion of sac and subtotal excision of sac in cases of primary hydrocele %D 2022 %J Journal of Surgery and Medicine %P -2602-2079 %V 6 %N 4 %R doi: 10.28982/josam.742479 %U 10.28982/josam.742479
ISNAD Ranjan Kumar, Rajeev , Trehan, Vikram , Mohan, Hari , Gupta, Anurakshat , Antony, Tinku , Chhikara, Amit , Kumar S, Suraj , K, Kishore . "Outcomes after eversion of sac and subtotal excision of sac in cases of primary hydrocele". Journal of Surgery and Medicine 6 / 4 (April 2022): 449-454 . https://doi.org/10.28982/josam.742479
AMA Ranjan Kumar R. , Trehan V. , Mohan H. , Gupta A. , Antony T. , Chhikara A. , Kumar S S. , K K. Outcomes after eversion of sac and subtotal excision of sac in cases of primary hydrocele. J Surg Med. 2022; 6(4): 449-454.
Vancouver Ranjan Kumar R. , Trehan V. , Mohan H. , Gupta A. , Antony T. , Chhikara A. , Kumar S S. , K K. Outcomes after eversion of sac and subtotal excision of sac in cases of primary hydrocele. Journal of Surgery and Medicine. 2022; 6(4): 449-454.
IEEE R. Ranjan Kumar , V. Trehan , H. Mohan , A. Gupta , T. Antony , A. Chhikara , S. Kumar S and K. K , "Outcomes after eversion of sac and subtotal excision of sac in cases of primary hydrocele", Journal of Surgery and Medicine, vol. 6, no. 4, pp. 449-454, Apr. 2022, doi:10.28982/josam.742479

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