Open Hydrocelectomy for Scrotal Hydrocele
Jennifer A. Kane, MD; Joseph Y. Clark, MD
Penn State Health Milton S. Hershey Medical Center
Hydrocelectomy is a common and effective surgical procedure used to treat hydrocele, a condition in males defined as an accumulation of benign peritoneal fluid between the layers of the scrotum. The indications for hydrocelectomy include pain, poor cosmetic appearance, or negative impact on patient quality of life. Surgical treatment of hydroceles aims to treat symptoms as well as prevent complications of hydroceles left untreated, including chronic pain or testicular ischemia. A scrotal incision is the most common approach for surgical management of non-communicating hydroceles. The hydrocele sac is isolated, the fluid is drained, and the sac is excised and closed to prevent recurrence. This video presents a case of a patient with a left sided non-communicating hydrocele that was treated with hydrocelectomy. As part of the procedure, a surgical drain was left in place.
Scrotal Hydrocelectomy Made Simple During a Surgical Mission
Jaymie Ang Henry, MD, MPH1; Lissa Henson, MD2; Domingo Alvear, MD3
1Florida Atlantic University, G4 Alliance
2Philippine Society of Pediatric Surgeons
3World Surgical Foundation
A hydrocele is a condition characterized by the abnormal accumulation of serous fluid between the layers of the tunica vaginalis in the scrotum. While most hydroceles are typically asymptomatic or subclinical, larger ones can cause discomfort, heaviness, and cosmetic concerns. The surgical management of hydroceles aims to alleviate symptoms, improve cosmetic appearance, and prevent potential complications associated with untreated hydroceles, such as testicular ischemia or chronic pain.
This video highlights the surgeon’s expertise and attention to detail, ensuring a thorough and meticulous surgical technique. The step-by-step approach and clear communication with the surgical team facilitate a smooth and efficient procedure. The importance of this surgical technique extends beyond the individual patient. Providing a simplified and effective treatment option for hydroceles has the potential to improve patient outcomes and reduce the burden on healthcare systems, particularly in resource-limited settings or during surgical missions. Overall, the video serves as a valuable educational resource for surgical trainees and practitioners, demonstrating a simplified and effective approach to the treatment of scrotal hydroceles.
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