PRIMARY HYDROCOELES IN INFANTS AND CHILDREN
Abstract
Background: Hydrocoele is an abnormal quantity of serous fluid within the tunica vaginalis. Itcan be primary or secondary. The primary can in turn be congenital or acquired. Objective of thisstudy was to see the frequency of primary hydrocoeles in children presenting to Ayub TeachingHospital, Abbottabad. Methods: This prospective study was conducted in Surgical ‘B’ Unit, AyubTeaching Hospital, Abbottabad, from Feb 2007 to Feb 2009. All Children above 6 months agewith hydrocoeles and operated were included in this study. All details were recorded on aproforma. The collected data were analysed, results calculated, and conclusions drawn. Results: Inall 186 operated cases, the maximum (58, 37%) incidence was in 2–3 years age group. Injury tothe vas occurred in 1 (0.7%) case, infection rate was 0% and scrotal haematoma occurred in 18%cases. Conclusion: Children with hydrocoeles should be operated after 6 months age. Herniotomyis the only satisfactory treatment and in expert hands complications are very rare.Keyword: Hydrocoeles, Herniotomy, infantsReferences
Fowler CG. Testis and scrotum In: Russal RG ed. Bailey and
Loves. Short Practice of Surgery. 24th Ed. London: Arnold
p.1483.
Ritchie AWS. Genito-urinary Surgery. In: Cuschieri.
Essential surgical Practice. 3rd ed. UK: Butterworth
Heinemann. 1995. p. 937.
Smith NP, Kenny SE. Inguinal hernias and hydrocoeles. Surg
Int 2009; 82:20–3.
Goers TA, Dillon PA. Paediatric Surgery. In: Klingensmith
ME, (editor). The Washington Manual of Surgery 5th ed..
New Dehli: Wolters Kluwer Pvt Ltd; 2009. p. 561.
McKay DG. Fowler RJR. Bennett JS. The Pathogenesis and
treatment of primary hydrocoele in infancy and childhood.
NZ J Surg 1958;28(1):1–11.
Downloads
Published
2011-12-01
Issue
Section
ORIGINAL ARTICLE
