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TITLE:

A COMPARATIVE STUDY OF HYDROCELE REPAIR BY TWO METHODS IN CHILDREN

AUTHORS:

Danyal Ahmad , Misbah Ahmad, Furqan Hassan

ABSTRACT:

Introduction: Hydrocele is an accumulation of fluid in the processus vaginalis causes swelling of the scrotum or inguinal region. Its treatment depends on age, symptoms and relationship with abdomen. Preferred method of treatment is under discussion. In this study, we evaluated two different methods of Hydrocele repair in children, Hydroselotomy and hydroselectomy and complications and relapse rates were compared. Study Design: A randomized, single-blind clinical trial. Place and Duration: In the Nishter Hospital Multan for one-year duration from May 2018 to April 2019. Materials and methods: 70 non-communicating children with hydrocele were selected for study assign allocating every other subject to each treatment group (alternating allocation) for the hydrocelectomy group (incision and evacuation of hydrocele sac) and hydrocelectomy group (excision and removing of heydrocele sac. Complications and recurrence rates have been reported in both cases in groups and together. Results: 35 of 70 children had hydrocele on the right (35/7%) and Left hydrocele was found in 45 children (64/3%). Without statistical difference complications such as bleeding, wound infection, seminal cord Damage, and recurrent hydrocele between two groups were noted in the postoperative period. Conclusion: Although no different result was found in term of complications and relapse between two groups of Hydrocelectomy and is an appropriate treatment with a lower probability of spermatic cord damage and other complications Keywords: Hydrocellotomy, recurrence, hydroelectomy.

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