Akademik Veri Yönetim Sistemi
IPEG's 32nd Annual Congress for Endosurgery in Children and ESPES's 13th Annual Congress, Sorrento, İtalya, 5 - 08 Temmuz 2023
Introduction: Hydrocele is one of the most common inguinoscrotal
surgical pathologies in boys. Formation of the hydrocele in children is
a result of the transfer of the intraperitoneal fluid via a patent
processus vaginalis(PPV) into the scrotum. While the traditional
approach to pediatric hydrocele has been open repair(OR) for years,
it has also impacted hydrocele with the worldwide adoption of
laparoscopic repair(LR) of inguinal hernia.The aim of this article is to
compare the outcomes of both techniques in a single center with a
special emphasis on recurrence.
Patients and Methods: We retrospectively analyzed the clinical data
of all the patients who underwent hydrocele repair from August 2016
to November 2022. The standard approach was OR in hydrocele until
the November of 2021 and after that the approach was switched to
LR regardless of any condition except the consent of the patient.In
the LR group, single port percutaneous internal ring suturing was
performed.
Results:102patients(OR=74; LR=28) included in study.The overall
average follow-up period is 28,5months. It was 50,5months in open
group, 6,6months in laparoscopic group. On the OR group, there
were 5recurrences, 2wound infections and 5hematomas. In the
laparoscopic group there were 1recurrence and 1hematoma. In
50patients in open group, it was observed that inguinal ring was
open, in 5patients PPV was found and in 19patients there was no
connection with abdominal cavity. In 3patients whose inguinal ring
was observed normal, recurrence was occured. In 25patients in
laparoscopic group, it was observed that inguinal ring was open, in
2patient PPV was found, in 1patient there was no connection with
abdominal cavity and contralateral methachronus hernia was
observed in 4patients.
Conclusion: Laparoscopy may reveal intrabdominal connection of
hydrocele better than open approach. It provides high quality view of
both inguinal rings and has the advantages of minimally invasive
surgery.