DOCSLIB.ORG

A Comparative Study of Different Surgi Al Pro Edures in the Management of Primary Aginal Ydro

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
A Comparative Study of Different Surgi Al Pro Edures in the Management of Primary Aginal Ydro riginalesearcArticle NewIndianJournalofSurgery Volume10Number2,March-April201 DOI:https://dx.doi.org/10.21088/nijs.0..1021.8 AComparativeStudyofDifferentSurgialProedures intheManagementofPrimaryaginalydroele OmarMahendraShire,BalaiDhaigude,SPanhbhai,ShahaiChavan 1Resident,2Professor&OU,3Professor&OU,Professor&OD,DepartmentofGeneralSurgery,Dr.D..PatilMedicalCollege, ospital&ResearchCentre,Pimpri,Pune,Dr.D.PatilVidyapeeth,Pune,Maharashtra11018,India. otoitethisartile OmkarMahendraShirke,BalajiDhaigude,S.V.Panchbhaietal.AComparativeStudyofDifferentSurgicalProceduresinthe ManagementofPrimaryVaginalydrocele.NewIndianJSurg.201;10(2):15-181. Abstrat procedures. servations Results: The duration of hydrocele ranged from 2 months to 15 years. Introduction: A hydrocele is an accumulation of Majority of the patients (3.) had duration of serous fluid in a body cavity. A hydrocele testis is 0-monthswhileminimumnumberofpatients(5) theaccumulationoffluidsaroundatesticle.Vaginal haddurationof-10years.ydroceleoccurredmore hydrocele is the most common primary hydrocele. in right as compared to left side (53.3 vs. 2.). There are different operative and non-operative Bilateral hydrocele was seen in 12 (20) patients. treatmentforhydroceleandasmanyproceduresare All patients(100)presentedwithscrotal swelling. used for hydrocelectomy such as Jabouleys Lords, 12 (20) patients had dragging type of pain while Patch technique, Aspiration and sclerotherapy 8(13.3)patientshadmechanicaldiscomfortdueto procedures. The common complications observed scrotalswelling.Majorityofthepatientsundergoing duringthesurgeryofhydrocelearebleeding,injury surgery(0)weregivenspinalanaesthesiawhile2 to the cord structures and epididymis, torsion of (0)patientswereoperatedunderlocalanaesthesia. thetestisafterafaultypositioningpostoperatively. Jaboulays operation was performed on 3 (1.) Commonestamongtheseispost-operativehematoma patientsofwhich8patientshadbilateralhydrocele. whichisduetooozingfromsmallvessels.Aimsand Lords plication was performed on 11(18.3) ectives: AIM - A comparative study of different patients of which 1 patient had bilateral hydrocele surgical procedures in the management of primary while Subtotal excision of sac was performed in vaginal hydrocele. ectives: To study surgical 12 (20) patients of which 3 patients had bilateral management of hydrocele by different surgical hydrocele. Majority of the complications were proceduresinfollowingtypeofsurgeries(Jaboulays observed in patients that underwent Subtotal Operation, Lords Plication and subtotal excision excisionofsacandtheleastnumberofcomplications of sac). To assess postoperative complications wereobservedinpatientsthatunderwentJaboulays associated with different surgical procedures. Operation. Conclusion: Considering the percentage Material and Methods: A hospital based prospective of complications in different operative techniques, study was conducted with0 patientsto assess the itisobservedthattherewereleastcomplicationsin different surgical procedures in the management JaboulaysOperation.So,JaboulaysOperationisbest of primary vaginal hydrocele and postoperative technique available in suitable cases for Jaboulays complications associated with different surgical Operation. Keyords Vaginal hydrocele; testis; hematoma; Jaboulays operation; Lords placation; Subtotal excisionofsac. CorrespondingAuthorBalaiDhaigude,Professor &OU,DepartmentofGeneralSurgery,Dr.D..Patil MedicalCollege,ospital&ResearchCentre,Pimpri, Introdution Pune, Dr. D. Patil Vidyapeeth, Pune, Maharashtra 11018,India. A hydrocele is an accumulation of serous [email protected] uid in a body cavity. A hydrocele testis is the Reeivedon03.01.201,Aeptedon02.02.201 accumulationofuidsaroundatesticle.Itisoften RedFlowerPublicationPvt.Ltd. 1 NewIndianJournalofSurgery caused byuidsecreted froma remnant piece of pabulum for bacteria, infection may supervene, peritoneumwrappedaroundthetesticle,calledthe oftenfacilitatedbydrainagetubes13,1. tunicavaginalis1.Vaginalhydroceleisthemost commonprimaryhydrocele.Itusuallyappearsin AimsandObetives middleagedorelderlymen.Thisiscausedbythe collectionofambercolouredsterilizeduidpresent between the parietal and visceral layers oftunica Aim vaginalis1.Mostofthepatientsrefusethedoctor A comparative study of different surgical for surgical procedure of hydrocele because of procedures in the management of primary shynessandfearofdevelopmentofimpotenceand vaginalhydrocele. infertility2,3.Ahydroceleusuallyisnotpainful andharmfulandmaydisappearwithouttreatment with in the rst year of life. It usually develops ectives in hot climate . If hydrocele gets complicated Tostudysurgicalmanagementofhydrocele becauseofnegligence,immediatehydrocelectomy bydifferentsurgicalproceduresinfollowing is preferred 5. Inthis connection itisimportant type of surgeries (Jaboulays Operation, todifferentiatehydrocelefromchylocele,pylocele LordsPlicationandsubtotalexcisionofsac). and hematocele before the induction of surgical procedure.Itisalsoimportanttomentionherethat To assess postoperative complications primaryvaginalhydrocelemaybeduetoWucheria associatedwithdifferentsurgicalprocedures. bankcrofti ,. Diagnosis plays a crucial role clinicallyandradiologicallyincaseoftheseverity MaterialsandMethods of the disease 8,. There are different operative andnon-operativetreatmentforhydroceleandas A hospital based prospective study was manyproceduresareusedforhydrocelectomysuch conductedwith0patientstoassessthedifferent as Jabouleys Lords, Patch technique, Aspiration surgicalproceduresinthemanagementofprimary andsclerotherapyprocedures10. vaginalhydroceleandpostoperativecomplications Alltheseproceduresareusingbythesurgeons associatedwithdifferentsurgicalprocedures. but still it has been reported that among the differentprocedurewhichmethodismoresuitable Place of stdy: Dr. D.. Patil Medical College, and reliable. Surgical procedures are associated ospitalandResearchCente,Pimpri,Pune-18. with complications of anesthesia and surgery. ye of stdy: A hospital based prospective Moreover,hospitaladmissionisusuallyrequired, study. thusaffectingthehealthandeconomyofthepatient. Planofstdy:Allpatientspresentingtosurgical Inrecentyears,therehasbeenaparadigmshiftin OPDwithswellinginscrotumwereadmittedand theminimallyinvasiveapproachinthetreatment evaluatedasperenclosedproforma. of various diseases. Aspiration sclerotherapy remains a minimally invasive approach to the Periodofstdy:April201toSeptember2018 treatmentofhydroceles.Sclerotherapyhasgrown amlesie:0Patients inpopularityasitisasafe,effective,andpainless Samplesizewascalculatedwith5condence outdoorprocedureandalsoeconomicallybenecial in interval estimation and 10 absolute error of for the patient. The effectiveness of various sclerosants reported in the literature is between marginbyusingformula: 53and811,12. n2(1-)/d2 The common complications observed during Where, the surgery of hydrocele are bleeding, injury to Table Value of alpha error from Standard thecordstructuresandepididymis,torsionofthe NormalDistributiontable(1.for5condence testis after a faulty positioning post operatively interval) 13,1.Commonestamongtheseispost-operative hematoma which is due to oozing from small anticipatedrange vessels. Unless meticulous hemostasis is secured dtheabsoluteprecisionrequiredoneitherside oozing from small vessels may continue into the oftruevalueofthepopulationproportion layers of the loose scrotal tissue giving rise to a hematoma which cannot be prevented effectively Populationproportion200.2 bydrainingthescrotum.ematomaactsasfertile Levelofsignicance(alphaerror)5 NIJS/Volume10Number2/March-April201 AComparativeStudyofDifferentSurgicalProceduresintheManagementofPrimaryVaginalydrocele 1 Marginoferrord0.1 3. ECG and -ray chest if necessary Condenceinterval5 depending on other systemic conditions. n(1.)20.20.8/(0.1)20. Ultrasonographyofscrotum. ence a sample size of 0 was considered adequateforourstudy. dCriteriaforselectionofoerativetechniues: Inclsionriteria In bilateral hydrocele cases, procedures were carriedoutonbothsidesasperthesize. Allcasesofscrotalswellingwithpresenceof transilluminationanductuation. Operative technique was decided according to thesizeofhydrocele. xclsionriteria LordsplicationtechniqueSmallhydrocele (5cm). Solidtesticularswelling. Jaboulays operation Medium hydrocele Swellinginwhichthereisassociatedimpulse (5-10cm) oncoughingandreducibility. Subtotal excision of sac Large hydrocele Patients taking medications that (10cm) interfere with wound healing such as e) CRD (corrugated rubber drain) was not Immuno-compromised patients, patients keptintra-operativelyduringsurgeryinanycase. on corticosteroids, anti-coagulants, vasoconstrictingagentsandanticancerdrugs. f) Scrotalsupportwasgivenwithcompressive scrotal(coconut)bandageinalloperatedcases. Ethical committee approval was taken before commencementofthisstudy. ostoerativerotocol etodology:Assessmentof0patientshaving 1) All patients were given intravenous hydroceleofdifferentsizesweredone. antibioticprophylactically. 2) Analgesicwasgiven. a resenting symtoms: The presenting chief 3) PainwasassessedbyusingVisualAnalogue complaint, duration of illness, mode of Scale.Themeanscoretakenonpostoperativeday onsetandprogressionoftheswellingwere (POD) 3 and (POD) . Visual analogue scale was recorded. representedbyastraightlinemeasuring10cm,the Clinical Examination: A thorough clinical extremes of whichcorresponds to nopainat one examination of the patient was done, endandworstpainattheother. which included both systemic and local
Load more

Recommended publications
  • Prostate Cancer Metastatic Spinal Cord Compression
    Urology Prostate cancer Risk factors ➢ PSA isn’t specific for prostate cancer but it’s • Increasing age useful in follow-up & monitoring TTT ➢ Before PSA test, men should NOT have: • Male, black Afro-Caribbean - An active UTI st • 1 degree relative with prostate cancer - Ejaculated in the past 48h Presentation - Exercised vigorously in the past 48h • Lower urinary tract symptoms (LUTS) are NOT specific for - Had a prostate biopsy in the last 6 weeks prostate cancer • LUTS include voiding or obstructing symptoms such as hesitancy, urgency, poor and/or intermittent stream, straining, prolonged micturition, feeling of incomplete bladder emptying, dribbling Investigation • Initial → DRE (hard, irregular & nodular) + PSA Biopsy-related prostatitis • Normal ⟶ E. coli - ≥2 ng/ml at age 40-49 years • Immunocompromised ⟶ Pseudomonas aeruginosa - ≥3 ng/ml at age 50-69 years - ≥5 ng/ml at age 70 years or older • Definitive → Biopsy Leuprolide is a GnRH analog: • If used in pulsatile fashion → agonist Management • If used in a continuous fashion → antagonist ➢ Leuprolide, used in a continuous manner Local disease Locally invasive Metastatic • Raised PSA on screening • Hematuria • Bone metastasis → hypercalcemia → thirst • LUTS • Hematospermia • Bone pain or sciatica • • • ry UTI Obstruction of ureters, Paraplegia 2 to spinal cord compression causing loin pain, anuria, • LN enlargement symptoms of AKI or CKD • Lethargy (anemia, uremia) • Weight loss ➢ KUB US ➢ MRI Metastatic spinal cord compression ➢ An oncological emergency and an urgent MRI should be requested within 24h ➢ 20% of patients with spinal metastasis Features • Neurological symptoms like radicular pain, limb weakness, difficulty in walking, sensory loss or bladder or bowel dysfunction • Neurological signs of spinal cord or cauda equina compression ➢ DO NOT confuse between metastatic spinal cord compression and spinal • Spinal metastasis + symptoms of → metastasis.
    [Show full text]
  • An Autopsy Case of Thyroid Carcinoma with Wide-Spread
    THE KURUME MEDICAL JOURNAL Vol.11, No.1, 1964 AN AUTOPSY CASE OF THYROID CARCINOMA WITH WIDE-SPREAD METASTASIS YASUTO IWANAGA Second Department of Pathology, Kurume University School of Medicine , Kurume-shi, Japan (Received for Publication February 29, 1964) It is well known that metastasis of thyroid carcinoma frequently occurs in the bone. However, cases are rare in which severe general skeletal metastasis are de monstrated and small primary thyroid carcinoma can not be detected clinically. The author will report here an autopsy case of clinically latent thyroid carcinoma with intensive bone and lung metastases. CASE HISTORY The patient: 66 year-old Japanese male. Chief complaint: Complete paralyses of both lower extremities . Past history: Not remarkable. Family history: His wife died at the age of 51 from carcinoma of the uterus . History of illness: In the spring of 1959, the patient first noted motoric paralyses of both lower extremities. He was given physical treatment for about two months at home. But, the disorders did not subside. In the spring of 1960, he noted hypesthesia of both lower extremities. These symptoms gradually increased . In the spring of 1961, he had urinary incontinence and hydrocele testis . In October of 1961, ha was admitted to Beppu National Hospital, the chief complaint being para- lyses of both lower extremities. Condition at time of hospital admittance: Physical examination revealed a 64 year-old, emaciated, chronically ill patient. Pulse was 80, and regular, axillary temperatute was 36.8 degree C. The patient could not walk . Both lower extremi- ties were spastic. Knee and ankle reflexes were negative.
    [Show full text]
  • Benigne Skrotale Sygdomme
    VIDENSKAB Benigne skrotale sygdomme Anders Thomsen1, Sabrina Toft Hansen1 & Lars Lund1, 2 Lidelser i scrotum er et vidt begreb og dækker over stre testikel beliggende lidt lavere end den højre. Bag STATUSARTIKEL medfødte lidelser, infektioner, cancer samt komplice­ testiklerne kan man palpere epididymis, hvis funktion 1) Urinvejskirurgisk rede smerteproblematikker. Det, der som oftest får pa­ er at modne og opbevare spermierne indtil ejakulation. Afdeling, tienten til at søge læge, er smerter, eller at han mærker Ved testis’ øvre pol kan man finde de embryonale rudi­ Odense Universitetshospital noget, som er anderledes, i scrotum. menter appendix testis og appendix epididymis. Funi­ 2) Klinisk Institut, Pludseligt opståede testissmerter er en almindelig culus spermaticus er den struktur, som kan palperes Syddansk Universitet henvisningsårsag til akut urologisk vurdering. Korrekt som en forlængelse af epididymis op mod ingvinalka­ diagnosticering er vigtig, da nogle af tilstandene kræ­ nalen og indeholder ductus deferens, kar og nerver. Ugeskr Læger ver akut kirurgisk intervention, mens andre kan be­ Testis og epididymis forsynes af a. testicularis, som 2018;180:V11170869 handles med antibiotika eller konservativt. afgår fra aorta abdominalis ud for anden lumbalhvir­ Kroniske smerter i scrotum er en frustrerende til­ vel. Venerne samler sig som plexus pampiniformis i stand for patienten og kan medføre mange bekymrin­ uniklen og ender som v. testiscularis, som på venstre ger. Behandlingen kan være udfordrende, fordi tilstan­ side indmunder i v. renalis og på højre side i v. cava den ofte er multifaktoriel og ikke særlig velbelyst i inferior. litteraturen. Nerveforsyningen foregår primært gennem n. ilio­ Målet med denne artikel er at give danske klinikere inguinalis og n.
    [Show full text]
  • Effects of Hydrocele on Morphology and Function of Testis
    OriginalReview ArticleArticle Effects of Hydrocele on Morphology and Function of Testis Bader Aldoah1 and Rajendran Ramaswamy2* 1Department of Surgery, University of Najran, Saudi Arabia; 2Department of Pediatric and Neonatal Surgery, Maternity and Children’s Hospital (MCH) (Under Ministry of Health), Najran, Saudi Arabia Corresponding author: Abstract Rajendran Ramaswamy, Department of Pediatric and Neonatal Surgery, Hydrocele is generally believed as innocent. But there is increasing evidence of noxious Maternity and Children’s Hospital influences of hydrocele on testis resulting in morphological, structural and functional (MCH) (Under Ministry of Health), Najran, Saudi Arabia, consequences. These effects are due to increased intrascrotal pressure and higher Tel: +966 536427602; Fax: temperature-exposure of the testis. Increased intrascrotal pressure can cause testicular 0096675293915; E-mail: [email protected] dysmorphism and even testicular atrophy. The testicular dysmorphism is reversible by early hydrocele surgery, but when persist, possibly indicate negative influence on future spermatogenesis. Spermatic cord compression by hydrocele is responsible for testicular volume increase. Such testes lose 15%-21% volume after hydrocele surgery. Tense scrotal hydrocele can cause acute scrotal pain from testicular compartment syndrome, which is relieved by evacuation of hydrocele. Higher resistivity index of subcapsular artery of testis and higher elasticity index of testicular tissue are caused by large hydrocele. As an aftermath, testis suffers ischaemia with long-term effect on spermatogenesis. High pressure of hydrocele along with ischaemia and oedema is found to result in histopathological damage to testis like total/partial arrest of spermatogenesis, small seminiferous tubules, disorganized spermatogenetic cells, basement membrane thickening and low fertilty index in children. Higher temperature exposure of testis interferes with spermatogenesis.
    [Show full text]
  • Management of Hydrocele in Adolescent Patients Marcello Cimador, Marco Castagnetti and Enrico De Grazia
    REVIEWS Management of hydrocele in adolescent patients Marcello Cimador, Marco Castagnetti and Enrico De Grazia Abstract | Hydrocele is defined as an abnormal collection of serous fluid in the potential space between the parietal and visceral layers of the tunica vaginalis. In the majority of affected adolescents, hydrocele is acquired and is idiopathic in origin. The pathogenesis of idiopathic hydrocele is thought to be an imbalance in the normal process of fluid production and reabsorption. The diagnosis is usually clinical. Taking a thorough history is essential to rule out any fluctuation in size, which is an indication of a patent processus vaginalis. Scrotal ultrasonography is mandatory in nonpalpable testicles to rule out a subtending testicular solid mass requiring inguinal exploration. Otherwise, open hydrocelectomy via a scrotal incision is the standard treatment of idiopathic hydroceles. The second most common cause of hydrocele in adolescents is varicocelectomy. The risk of hydrocele formation is higher with non-artery-sparing procedures or those performed without microsurgical aid, and in surgery requiring cord dissection. If hydrocele occurs after varicocelectomy, initial management should include observation with or without hydrocele aspiration. Large persistent hydroceles are best served by open hydrocelectomy. Cimador, M. et al. Nat. Rev. Urol. advance online publication 15 June 2010; doi:10.1038/nrurol.2010.80 Introduction Hydrocele testis was described as early as the 15th the possible etiologies of hydrocele in adolescents, con­ century by Ambroise Pare, and is defined as an abnor­ ventionally defined as patients aged between 13 and mal collection of serous fluid in the space between 18 years, and to discuss the available treatment options the parietal and visceral layers of the tunica vaginalis, for this patient population.
    [Show full text]
  • Forløbsbeskrivelse Af Urologiske Sygdomme Uiopasdfghjklzxcvbnmqwertyui
    qwertyuiopasdfghjklzxcvbnmq wertyuiopasdfghjklzxcvb nmqw ertyuiopasdfghjklzxcvbnmqwer tyuiopasdfghjklzxcvbnmqwertyForløbsbeskrivelse af urologiske sygdomme uiopasdfghjklzxcvbnmqwertyui Udarbejdet af de kliniske sygeplejespecialister; Gitte Petersen, Gry opasdfghjklzxcvbnmqwertyuiopMedonos, Liselotte Vitoft og Stina Lindedam asdfghjklzxcvbnmqwertyuiopas dfghjklzxcvbnmqwertyuiopasdf ghjklzxcvbnmqwertyuiopasdfgh jklzxcvbnmqwertyuiopasdfghjkl zxcvbnmqwertyuiopasdfghjklzx cvbnmqwertyuiopasdfghjklzxcv bnmqwertyuiopasdfghjklzxcvbn mqwertyuiopasdfghjklzxcvbnm qwertyuiopasdfghjklzxcvbnmq wertyuiopasdfghjklzxcvbnmqw i df hjkl b i Urologisk specialsygepleje – Patientforløbsbeskrivelse Indhold Cancer prostata ............................................................................................................................................... 2 Blærecancer .................................................................................................................................................... 7 Nyrekirurgi ...................................................................................................................................................... 14 Cancer renis .................................................................................................................................................. 14 Nyrepelviscancer og uretercancer............................................................................................................... 15 Nyrecyster ..................................................................................................................................................
    [Show full text]
  • Manual Urologie
    Frank Finke Manual Urologie Basiswissen für den Stationsdienst Mit 23 Abbildungen 1998 Georg Thieme Verlag Stuttgart • New York Inhalt 1 Urologische Diagnostik 1 1.1 ausführliche Anamnese der urologischen Leitsymptome ... 1 1.2 Körperliche Untersuchung 4 1.3 Körperliche urologische Untersuchung 6 1.4 Labordiagnostik 8 1.4 Ultraschall 13 1.5 Röntgen 17 1.6 Urodynamische Untersuchung . 22 2 Entzündungen des Urogenitaltraktes 24 2.1 Grundsätzliches 24 2.1 Akute Pyelonephritis 25 2.2 Chronische Pyelonephritis 27 2.3 Abszedierende Pyelonephritis (septische Niere) 29 2.4 Pyonephrose (Eitersackniere) 30 2.5 Paranephritischer Abszeß 32 2.6-^ Zystitis 33 2.7 Harnwegsinfektion in der Gravidität 38 2.8 Akute Prostatitis 39 2.9 Chronische Prostatitis 41 2.1.0- -Vesik-ulitis 42 2.11 Vegetatives Urogenital-Syndrom (= Prostata-Neurose, Prostatopathie, Prostatodynie) 43 2.12X Chronisch-granulomatöse Prostatitis 44 2.13 Unspezifische Urethritis (Nicht-Go-Urethritis, ca. 30%) ... 44 2.14 Spezifische Urethritis (Go-Urethritis, ca. 70%) 46 2.15 Akute Epididymitis 47 2.16 Chronische Epididymitis 49 2.17 Orchitis , 50 2.18 Hodenabszeß " 51 2.19 Balanitis 52 Manual Urologie 3 Sonstige skrotale Erkrankungen 53 3.1 Hydrozele 53 3.2 Idiopathische Varikozele testis 54 3.3 Skrotalhernie 56 3.4 Spermatozele 57 4 Benigne Prostatahyperplasie (BPH) 58 5 Onkologie 66 5.1 Prostatakarzinom (PC) 67 5.2 Nierenzellkarzinom (NZK) 75 5.3 Nierenbecken- und Harnleiterkarzinom 82 5.4 Blasentumor 84 5.5 Hodentumor 94 5.6 Peniskarzinom 104 5.7 Harnröhrentumor 108 5.8 Analgesie beim
    [Show full text]
  • Hydrocelectomy Through the Inguinal Approach Versus Scrotal Approach for Idiopathic Hydrocele in Adults Adel Lasheen
    68 Original article Hydrocelectomy through the inguinal approach versus scrotal approach for idiopathic hydrocele in adults Adel Lasheen Department of General Surgery, Al-Azhar University Background/aim Hospitals, Faculty of Medicine, Al-Azhar University, Cairo, Egypt Hydrocele is a common chronic condition in men that causes physical, psychological, social, and economic distress. This study aimed to evaluate the outcome of Correspondence to Adel Lasheen, Department of General Surgery, El-Hussein University Hospital, hydrocelectomy through the inguinal approach as compared with the scrotal approach Faculty of Medicine, Al-Azhar University, 11651 in adults. Cairo, Egypt Tel: + 20 1115840316; fax: + 2 02 25104146; Subjects and methods e-mail: [email protected] This prospective study was conducted on 40 patients who presented to the Received 22 July 2012 El-Hussein University Hospital with idiopathic hydrocele and underwent Accepted 3 September 2012 hydrocelectomy. These patients were divided into two groups: group I (inguinal Journal of the Arab Society for Medical Research approach group) included 20 patients with a mean age of 30.75 ± 10.76 years and 2012, 7:68–72 who underwent hydrocelectomy through the inguinal approach, group II (scrotal approach group) included 20 patients with a mean age of 29.35 ± 8.93 years and who underwent hydrocelectomy through the scrotal approach. A comparison was made between the two groups as regards the volume of the hydrocele sac, operative time, postoperative morbidity, length of hospital stay, and time of return to daily life. Results The mean volume of hydroceles was 196.00 ± 30.28 ml in the inguinal approach group and 197.75 ± 26.72 ml in the scrotal approach group.
    [Show full text]
  • Assessment of the Patients Suffering from Hydrocele in IGIMS, Patna
    International Journal of Medical and Health Research Original Research Article International Journal of Medical and Health Research ISSN: 2454-9142 Impact Factor: RJIF 5.54 www.medicalsciencejournal.com Volume 4; Issue 1; January 2018; Page No. 133-135 Assessment of the patients suffering from hydrocele in IGIMS, Patna Dr. Bijay Kumar1, Dr. Sukumar Jha2 1 Senior Resident, Department of General Surgery, IGIMS, Patna, Bihar, India 2 Professor & HOD, Department of General Surgery, IGIMS, Patna, Bihar, India Abstract Hydrocele is one of the commonest diseases occurring worldwide. Since olden days surgical procedures have been described for the treatment of hydrocele. The surgical procedures commonly used for the treatment of hydrocele is the radical operation in which the parietal layer of the tunica vaginalis is completely removed and its cut edges are sutured posteriorly. Hence the present study was planned to assess the clinical profile of the Hydrocele in the patients referred to the IGIMS Patna. The present study was planned on the 25 patients diagnosed with the Hydrocele in General Surgery Dept, IGIMS, Patna from Jun 2008 to Nov 2008. In all the cases, routine investigations were done which included hemogram, random blood sugar, blood for TC, DC, ESR, scrotal ultrasound. The data generated from the present study suggest that the diagnosis and treatment of hydrocele are relatively simple and less complicated the number of patients with hydrocele is high in communities. The social stigma, ignorance, poverty, lack of awareness and lack of health care facilities in areas are the common causes of late presentation. Hence awareness about hydrocele should be spread among the rural populations and they should be encouraged to avail early medical attention.
    [Show full text]
  • APA1-1 Laparoscopic Ventral Hernia Repair
    APA1-1 Laparoscopic Ventral Hernia Repair: Looking back and forward Anil Sharma Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Superspeciality Hospital, India Laparoscopic repair of ventral hernia is an accepted modality of treatment that has stood the test of time. The laparoscopic repair is advantageous in terms of shorter hospital stay and lesser wound infection rate. There are clear advantages of laparoscopic repair in elderly and morbidly obese patient. The recurrence rates are reported tobe similar or better than open repair. The advantages of laparoscopic intraperitoneal onlay mesh repair (IPOM) are that it is a standardized technique, reproducible and we have long term results over 25years .However, the intraperitoneal mesh that is required for laparoscopic IPOM repair remains a concern. Recent updated guidelines state that the intraperitoneal placement of prosthesis specifi cally produced for laparoscopic ventral hernia repair is safe. However, the same guidelines also state that the use of an intraperitoneal mesh is associated with adhesion formation, shrinkage of mesh and chronic pain. In our study at a tertiary referral center, we observed signifi cant morbidity during re-laparoscopy access and also adhesion related morbidity from previous intraperitoneal mesh implantation. We know that the underlay approach for mesh placement in hernia repair is best. This entails mesh to be placed in the intraperitoneal, extraperitoneal or retrorectus location. Experience with Rives-Stoppa open repair of abdominal wall hernias indicates a low rate of recurrence. The laparoscopic retrorectus repair of abdominal wall hernias appears to combine all the advantages of laparoscopic approach and retrorectus placement of mesh. Further effort to develop a laparoscopic approach to the retrorectus space for treatment for abdominal wall hernias is likely.
    [Show full text]
  • Abstract Book
    INTERNATIONAL MEDICAL CONGRESS OF SILESIA Conference organized online May 12-14 2021 ABSTRACT BOOK STUDENTS’ SCIENTIFIC ASSOCIATION OF THE MEDICAL UNIVERSITY OF SILESIA POLISH ASSOCIATION OF DENTAL DOCTORAL STUDENTS’ GOVERNMENT STUDENTS OF THE BRANCH ZABRZE MEDICAL UNIVERSITY OF SILESIA ISBN 978-83-950834-4-0 2 ORGANIZING COMMITTEE PRESIDENT: Marianna Łoskot Students’ Scientific Association: Polish Association of Dental Students: Regina Wysocka Karolina Ziaja Piotr Lewandowski Mateusz Ciurus Patryk Kwapień Aleksandra Mroskowiak Paula Czado Maria Stec Kinga Dobosz Karol Krystek Barbara Janota Weronika Gwioździk Maciej Kuś Doctoral Students’ Government: Bartłomiej Skowronek Ewelina Sobecko Joanna Smolarczyk- Kosowska Weronika Powrosło Katarzyna Szałabska- Rąpała Szymon Czajka Marta Karkoszka Agnieszka Nowak Mateusz Stojko Zuzana Sołtysiak-Gibała Tomasz Walacik Agnieszka Wiórek 3 VOLUNTEERS Gustaw Błaszczyński Angelika Burzy Krzysztof Feret Martyna Giałbas Paulina Helisz Aleksandra Juras Justyna Kobylarczyk Magdalena Kurczab Maria Kujawińska Agata Suleja Katarzyna Zięba Natalia Zięba 4 SCIENTIFIC AUSPICIES OF RECTOR OF THE MEDICAL UNIVERSITY OF SILESIA Prof. Tomasz Szczepański, PhD, MD 5 SPONSORS 6 7 Dear Students, I have a great pleasure to invite you to the International Medical Congress of Silesia 2021 - “SIMC 2021” organized at the Medical University of Silesia. Even though Covid pandemics caused the change of form of our meeting I have no doubt that despite everything it will be a great scientific adventure for all. This annual event has become our long- standing tradition and a continuation of the International and Interfaculty Conference of Students of Medical Universities, organized by Student Scientific Society of our University since 2006. The aim of the Conference is to initiate and to promote the scientific development of students as well as to facilitate exchange of experience and create a forum for scientific discussion.
    [Show full text]
  • Enlarged Scrotum, an Unusual Cause
    IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 18, Issue 12 Ser.9 (December. 2019), PP 07-13 www.iosrjournals.org Enlarged Scrotum, an Unusual cause - Eggshell Calcification of Hydrocele on Lt with Inguino-scrotal hernia and encysted hydrocele on Rt side, Imaging of a case & review *Pranav Kumar Dave1 Vivek Gupta2, R Mishra3, M Jain4,M Bapat5, R Tapadia6 P Chouhan6,P Rajpali6 ,M Tilgam6,P Gupta 6,A Patidar 6,Q Ali7,K Anand 8 S Sharma9 Asso.Prof 1 , Prof2,3 , Prof & HOD4, Asst. Prof 5, Resident 6,- Department of Radio diagnosis, Prof of Surgery & Urologist 7 ,Prof & HOD of Surgery8, Prof of Surgery9 L N Medical College and J K Hospital, Kolar Road, Bhopal-462042,MP, India. *1 Corresponding author: Dr Pranav K Dave, Asso. Prof. Deptt. Of Radiology, E-7/540, MIG Senior, Area Colony, Bhopal-462016,MP.India. Abstract: Scrotal swellings are common in all age groups representing various causes. In older age scrotal swelling may be due to herniation, hydrocele or testicular tumor. Calcification of walls of hydrocele is not very commonly seen, its hard consistency mimics neoplastic nature. Evaluation with radiography, scrotal sonography and CT findings, diagnosis is confirmed pre operatively and prevents over surgery. Keywords: - Hydrocele Wall Calcification, Eggshell Calcification, Scrotal swelling, Scrotal Ultrasonography SU, CT Scrotum ----------------------------------------------------------------------------------------------------------------------------- --------- Date of Submission: 10-12-2019 Date of Acceptance: 25-12-2019 ------------------------------------------------------------------------------------------------------------------------ --------------- I. Introduction The commonest cause of scrotal swelling is a hydrocele, an abnormal fluid collection between parietal and visceral layers of the tunica vaginalis in all age groups.
    [Show full text]