Traditional Inguinal Incision and High Scrotal Incision (Bianchi) in Management of Encysted hydrocele in children- a Comparative Study

Document Type : Original Article

Authors

1 Department Oncosurgery, Faculty of Medicine, Aswan University

2 General surgery department , Faculty of Medicine - Aswan University; Aswan; Egypt

3 General Surgery department, Faculty of Medicine, Aswan University, Aswan, Egypt

4 General surgery Department, Faculty of Medicine, Aswan University, Aswan, Egypt.

Abstract

Background: A hydrocele is a collection of peritoneal fluid between the parietal and visceral layers of the tunica vaginalis.
Aim: to compare between the traditional inguinal incision and single high scrotal incision in management of encysted hydrocele of the cord in children
Patients and Methods: In this prospective randomized study, forty boy patients aged from 2 to 18 years were operated in Pediatric Surgery Unit at Aswan University Hospital. This study was performed from April 2022 till March 2023
Results: The mean hospital stay, The mean operative time, Pediatrics more than 4 years old assessed by Faces pain score, Pediatrics more than 4 years old assessed by Faces pain score, while Pain score for pediatrics less than 4 years old assessed by FLACC pain score, the mean postoperative assessment and The early assessment after 10 days from the operation between two groups was statistically significant.
Conclusion: Single high scrotal incision technique was highly effective without any side effect other than traditional incision techniques in the management of encysted hydrocele of the cord in children.

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