AI Article Synopsis
- Hydrocele is caused by fluid accumulation in the scrotum due to a patent processus vaginalis, and this study compares traditional open repair (OR) with laparoscopic repair (LR) techniques in a single medical center.
- A retrospective analysis of 113 patients who underwent hydrocele repair between August 2016 and November 2022 showed that OR was the standard method until late 2021, when LR began to gain preference due to its observed success.
- The results indicated that the recurrence rate for LR was significantly lower at 2.12% compared to 10.6% for OR, suggesting that laparoscopy provides better visualization and can effectively address intrabdominal connections associated with hydrocele.
Article Abstract
Purpose: Hydrocele is a result of intraperitoneal fluid filling into the scrotum through the patent processus vaginalis (PPV). While the traditional approach of pediatric hydrocele has been open repair (OR) for years, laparoscopic repair (LR) of hydrocele has been accepted worldwide after the proven efficacy of laparoscopy. The purpose is to compare the outcomes of both techniques in a single center.
Methods: We retrospectively analyzed the clinical data of all the patients who underwent hydrocele repair from August 2016 to November 2022. In our center, the standard approach was OR in hydrocele until the November of 2021. Starting from this date, LR has begun to be preferred, as the experience has increased and its success has been observed. In the LR group, single-port percutaneous internal ring suturing technique was performed.
Results: The data of 113 patients (OR 58.4% (n = 66), LR 41.6% (n = 47)) were collected. In preoperative examination, 12.4% (n = 14) patients were diagnosed as communicating and 87.6% (n = 99) non-communicating hydrocele. Intraoperatively, 65.5% (n = 74) patients were communicating and 34.5% (n = 39) were non-communicating. Total recurrence rate was 7% (n = 8). The OR group experienced a recurrence rate of 10.6% (n = 7), while the LR group experienced 2.12% (n = 1).
Conclusion: Laparoscopy may reveal intrabdominal connection of hydrocele better than open approach. It provides a high quality view of both inguinal rings and has the advantages of minimally invasive surgery.
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| http://dx.doi.org/10.1007/s00383-024-05632-0 | DOI Listing |
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