A study on comparison of Minimal Separation Hydrocelectomy Vs. conventional Hydrocelectomy (Jaboulay’s procedure) at Govt. Kilpauk Medical College Hospital.

Santhi, A (2018) A study on comparison of Minimal Separation Hydrocelectomy Vs. conventional Hydrocelectomy (Jaboulay’s procedure) at Govt. Kilpauk Medical College Hospital. Masters thesis, Kilpauk Medical College, Chennai.

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Abstract

To compare the new minimally access hydrocelectomy versus Jaboulay’s procedure regarding operative outcome and patient’s satisfaction. Minimal access hydrocelectomy surgery is a novel procedure and there is an adequate literature about the benefits of this surgical technique. In India, still in many hospitals we are practicing only conventional hydrocelectomy (Jaboulay’s procedure) and Lord’s plication techniques for the treatment of hydrocele. These techniques have its own complications. Only a very few publications have studied the benefits of minimal access hydrocelectomy over the conventional procedure and there were no studies which involved Indian population. AIM OF THE STUDY: The aim of this thesis is to compare the operative outcomes among the primary vaginal hydrocele patients those underwent minimal access hydrocelectomy and conventional hydrocelectomy. OBJECTIVES: Primary The main objective of this thesis is to compare the post-operative complications among the primary vaginal hydrocele patients those underwent minimal access hydrocelectomy, conventional hydrocelectomy. Secondary: To compare the operating time and hospital stay among the primary vaginal hydrocele patients those underwent minimal access hydrocelectomy and conventional hydrocelectomy. MATERIALS AND METHODS: A total of 60 adult patients were divided into two groups A and B. Group A patients was subjected to conventional surgical hydrocelectomy (Jaboulay’s procedure) and group B patients were subjected to the new minimal access hydrocelectomy. The primary endpoint of the study was recurrence defined as a clinically detectable characteristic swelling in the scrotum and diagnosed by the two surgeons and confirmed by ultrasound imaging study. The secondary endpoints were postoperative hematoma, wound sepsis and persistent edema and hardening. CONCLUSION: Hydrocelectomy is considered the gold standard technique for the treatment of hydrocele and the minimally access maneuvers provide the best operative outcomes regarding scrotal edema and hardening and patient’s satisfaction when compared to conventional eversion-excision hydrocelectomies.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Minimally Invasive Surgical Procedures ; complications [Subheading] ; Testicular Hydrocele.
Subjects: MEDICAL > General Surgery
Depositing User: Subramani R
Date Deposited: 06 Aug 2018 00:52
Last Modified: 06 Aug 2018 00:52
URI: http://repository-tnmgrmu.ac.in/id/eprint/9095

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