8. Hydrocele Flashcards
(124 cards)
1
Q
Hydrocele
A
- Definition
2. CLASSIFICATION
2
Q
Definition of Hydrocele
A
Collection of clear serous Fluid inside a part of the processus vaginalis
3
Q
CLASSIFICATION of Hydrocele
A
- Hydrocele of the spermatic cord
2. Hydrocele of the tunica vaginalis
4
Q
Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
a. Encysted hydrocele of the cord
b. Hydrocele of the hernial sac
5
Q
Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
- ETIOLOGY
- CLINICAL PICTURE
- Differential Diagnosis
- TREATMENT
- Note
6
Q
ETIOLOGY of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
Due to persistence of the intermediate part of the processus vaginalis
7
Q
CLINICAL PICTURE of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
- Age of presentation
- Symptoms
- Examination
8
Q
Age of presentation in CLINICAL PICTURE of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
It usually appears in childhood although it’s congenital
9
Q
The reason why It usually appears in childhood although it’s congenital in Age of presentation in CLINICAL PICTURE of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
because fluid takes time to accumulate.
10
Q
Symptoms in CLINICAL PICTURE of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
Painless swelling in the scrotal part of the spermatic cord.
11
Q
Examination in CLINICAL PICTURE of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
Swelling with the following characters :
- Site
- Size
- Shape
- Edge
- Surface
- Consistency
- Special character
12
Q
Site of the swelling in Examination in CLINICAL PICTURE of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
Scrotal part of the spermatic cord.
13
Q
Size of the swelling in Examination in CLINICAL PICTURE of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
Small.
14
Q
Shape of the swelling in Examination in CLINICAL PICTURE of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
- Oval in shape
2. Its long axis is along the axis of the cord
15
Q
Edge of the swelling in Examination in CLINICAL PICTURE of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
Well defined
16
Q
Surface of the swelling in Examination in CLINICAL PICTURE of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
Smooth.
17
Q
Consistency of the swelling in Examination in CLINICAL PICTURE of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
Tense cystic
18
Q
Special character of the swelling in Examination in CLINICAL PICTURE of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
- Mobility
2. Translucency
19
Q
Mobility in Special character of the swelling in Examination in CLINICAL PICTURE of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
- It can be moved from side to side but not from above downwards.
- With gentle traction on the testis, it is pulled downwards and becomes fixed
20
Q
Translucency in Special character of the swelling in Examination in CLINICAL PICTURE of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
Translucent
21
Q
Differential Diagnosis of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
Epididymal cysts & spermatocele.
22
Q
The main difference from epididymal cysts & spermatocele in Differential Diagnosis of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
There is GAP between it & the testis in Epididymal cysts & spermatocele
23
Q
TREATMENT of Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
Excision through an inguinal incision
24
Q
Note about Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
A
Hydrocele of the canal of Nuck is similar to encysted hydrocele of the cord
25
Hydrocele of the canal of Nuck in Note about Encysted hydrocele of the cord in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
1. Occurs in females
| 2. The cyst lies in relation to the round ligament of the uterus.
26
Hydrocele of the hernial sac in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
1. Incidence
2. Predisposing factor
3. ETIOLOGY
4. CLINICAL PICTURE
5. TREATMENT
27
Incidence of Hydrocele of the hernial sac in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
It's a rare complication of Hernia
28
Predisposing factor of Hydrocele of the hernial sac in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
Use of Truss
29
ETIOLOGY of Hydrocele of the hernial sac in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
Due to fluid accumulation in an empty hernial sac which has been shut off from the peritoneal cavity by omentum or by adhesions
30
CLINICAL PICTURE of Hydrocele of the hernial sac in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
1. Symptoms
| 2. Examination
31
Symptoms of CLINICAL PICTURE of Hydrocele of the hernial sac in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
1. There is history of a hernia.
| 2. Later, there is an irreducible pyriform swelling in the upper part of the cord.
32
Examination of CLINICAL PICTURE of Hydrocele of the hernial sac in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
Swelling with the following characters
1. Consistency
2. Special characters
33
Consistency of the swelling in Examination of CLINICAL PICTURE of Hydrocele of the hernial sac in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
The swelling is cystic
34
Special characters of the swelling in Examination of CLINICAL PICTURE of Hydrocele of the hernial sac in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
1. Translucency
| 2. Mobility
35
Translucency of the swelling in Special characters of the swelling in Examination of CLINICAL PICTURE of Hydrocele of the hernial sac in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
The swelling is translucent
36
Mobility of the swelling in Special characters of the swelling in Examination of CLINICAL PICTURE of Hydrocele of the hernial sac in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
1. The swelling is mobile from side to side but not from above downwards.
2. Gentle traction on the testis does not alter the mobility of the swelling.
37
TREATMENT of Hydrocele of the hernial sac in Hydrocele of the spermatic cord in CLASSIFICATION of Hydrocele
Like that of the hernia
38
Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
a. Congenital Hydrocele
b. Infantile Hydrocele
c. Vaginal Hydrocele
39
Congenital Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. ETIOLOGY
2. Clinical picture
3. Differential Diagnosis
4. Treatment
40
ETIOLOGY of Congenital Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Due to persistence of the whole processus vaginalis.
| 2. The communication with the peritoneal cavity is too small to permit the development of a hernia.
41
Clinical picture of Congenital Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Symptoms
| 2. Examination
42
Symptoms in Clinical picture of Congenital Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
The mother complains that her infant has a scrotal swelling
43
Criteria of the scrotal swelling in Symptoms in Clinical picture of Congenital Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Minimal in the morning
| 2. Reaches maximum size by the end of the day
44
Examination in Clinical picture of Congenital Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Local Examination
| 2. Abdominal examination is essential (old info)
45
Local Examination in Examination in Clinical picture of Congenital Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Inguinoscrotal cystic translucent swelling.
2. The hydrocele fills gradually on standing and empties very slowly (irreducible) if the patient lies down and the scrotum is elevated
46
The reason why Abdominal examination is essential in Examination in Clinical picture of Congenital Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
because in some cases it may be 1ry manifestation of T.B. peritonitis
47
Differential Diagnosis of Congenital Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Congenital Hernia
48
The main difference between Congenital Hydrocele and Congenital Hernia in Differential Diagnosis of Congenital Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
The congenital hernia
1. It's easily reducible
2. Gives expansile impulse on crying.
49
TREATMENT of Congenital Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Surgery through an inguinal incision
| 2. Dividing of the sac into two parts
50
Dividing of the sac into two parts in TREATMENT of Congenital Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Management of
1. The upper part of the sac
2. The lower part of the sac
51
Management of The upper part of the sac in Dividing of the sac into two parts in TREATMENT of Congenital Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Transfixion & excision of the upper part at the level of the internal ring as a hernia
52
Management of The lower part of the sac in Dividing of the sac into two parts in TREATMENT of Congenital Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Eversion of the lower part as in hydrocele.
53
Infantile Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. ETIOLOGY
2. Clinical picture
3. Treatment
54
ETIOLOGY of Infantile Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Due to obliteration of the processus vaginalis only at the level of the internal ring
2. The tunica does not communicate with the
peritoneal cavity
55
Clinical picture of Infantile Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. As congenital hydrocele but with no diurnal variation in size
2. Sometimes the differentiation is known only at operation
56
Treatment of Infantile Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Excision of the upper part & eversion of the lower part.
57
Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Definition
| 2. Etiology
58
Definition of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Fluid collection in the tunica vaginalis
59
Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Primary hydrocele
| 2. Secondary hydrocele
60
Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. ETIOLOGY
2. PATHOLOGY
3. CLINICAL PICTURE
4. COMPLICATIONS
5. Investigations
6. TREATMENT
61
ETIOLOGY of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. The cause of this condition is not known
| 2. Theories
62
Theories in ETIOLOGY of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Obstruction of the lymphatics draining the testis due to repeated attacks of subclinical epididymo-orchitis (most accepted theory).
2. Chronic congestion and irritation by repeated trauma
63
Most accepted theory in Theories in ETIOLOGY of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Obstruction of the lymphatics draining the testis due to repeated attacks of subclinical epididymo-orchitis
64
PATHOLOGY of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. It may be unilateral or bilateral.
2. There is accumulation of fluid in the tunica vaginalis, which may reach an enormous size.
3. The hydrocele fluid
5. The tunica vaginalis
65
The hydrocele fluid in PATHOLOGY of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Color
2. Composition
4. Specific gravity
66
Color of The hydrocele fluid in PATHOLOGY of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Amber yellow
67
Composition of The hydrocele fluid in PATHOLOGY of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
It's a thin fluid and contains
1. Water
2. Inorganic salts
3. Fibrinogen
4. Albumin
5. Cholesterol crystals in old standing cases
68
Concentration of albumin in Composition of The hydrocele fluid in PATHOLOGY of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
A. 6 gm%
B. Resembles an exudate.
69
Specific gravity of The hydrocele fluid in PATHOLOGY of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1020-1024.
70
The tunica vaginalis in PATHOLOGY of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
becomes thickened and fibrosed in old standing cases
71
CLINICAL PICTURE of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Age of presentation
2. Symptoms
3. Examination
72
Age of presentation in CLINICAL PICTURE of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Middle aged males
| 2. Elderly males
73
Symptoms in CLINICAL PICTURE of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Painless swelling of the scrotum.
74
Examination in CLINICAL PICTURE of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
A. Swelling with the following characters ;
1. Site
2. Size
3. Shape
4. Edge
5. Surface
6. Consistency
7. Special character
B. Note
75
Site of the swelling in Examination in CLINICAL PICTURE of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Purely scrotal swelling by Scrotal neck test
76
Size of the swelling in Examination in CLINICAL PICTURE of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Moderate to huge
77
Shape of the swelling in Examination in CLINICAL PICTURE of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Pyriform
78
Edge of the swelling in Examination in CLINICAL PICTURE of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Well defined
79
Surface of the swelling in Examination in CLINICAL PICTURE of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Smooth
80
Consistency of the swelling in Examination in CLINICAL PICTURE of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Cystic with bipolar fluctuation test
| 2. Dull on percussion
81
Special character of the swelling in Examination in CLINICAL PICTURE of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. There is no impulse on cough
| 2. Translucent on transillumination
82
Note about Examination in CLINICAL PICTURE of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
The hydrocele fluid surrounds the testis, which is often impalpable
83
COMPLICATIONS of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Infection
2. Hemorrhage
3. Rupture
4. Calcification.
5. Hydrocele en bisac
6. Huge expansion of the scrotum
84
Infection in COMPLICATIONS of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Leading to pyocele
| 2. usually after aspiration.
85
Hemorrhage in COMPLICATIONS of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Leading to haematocele
| 2. Either after trauma, or spontaneously.
86
Rupture in COMPLICATIONS of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
usually follows trauma.
87
Hydrocele en bisac in COMPLICATIONS of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Definition
| 2. Morphology
88
Definition of Hydrocele en bisac in COMPLICATIONS of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Herniation of the hydrocele sac through the dartos muscle
89
Morphology of Hydrocele en bisac in COMPLICATIONS of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Two sacs one small one large
90
Huge expansion of the scrotum in COMPLICATIONS of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Leading to indrawing of the penis
| 2. May interfere with micturition and intercourse.
91
Investigation of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Scrotal U.S.
92
Scrotal U.S. in Investigation of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Significance
| 2. Advantages
93
Significance of Scrotal U.S. in Investigation of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Diagnostic
94
Advantages of Scrotal U.S. in Investigation of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Identifies the testis that is difficult to palpate.
2. Identifies character of fluid in this hydrocele
3. Excludes eversion of testis
4. Excludes testicular tumours as vaginal hydrocele is a rare presentation of testicular tumour
95
TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Aspiration is better avoided
| 2. Surgical Treatment
96
The reason why Aspiration is better avoided in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Recurrence is inevitable.
2. May be complicated by infection or hemorrhage.
3. There may be an underlying testicular tumour.
97
Surgical Treatment in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Eversion of the tunica vaginalis
2. Subtotal excision of the tunica vaginalis
3. Plication of tunica vaginalis
98
Eversion of the tunica vaginalis in Surgical Treatment in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Alternative name
2. Operative details
3. Disadvantage
4. Overcoming the disadvantage
99
Alternative name for Eversion of the tunica vaginalis in Surgical Treatment in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Jaboulay's operation
100
Operative details in Eversion of the tunica vaginalis in Surgical Treatment in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Incision
| 2. Steps
101
Incision in Operative details in Eversion of the tunica vaginalis in Surgical Treatment in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
A small transverse incision is done in the skin of the scrotum.
102
Steps in Operative details in Eversion of the tunica vaginalis in Surgical Treatment in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. The hydrocele sac is delivered, opened & the hydrocele fluid is evacuated.
2. The tunica is everted & stitched behind the epididymis.
103
The reason why The tunica is everted & stitched behind the epididymis in Steps in Operative details in Eversion of the tunica vaginalis in Surgical Treatment in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
so that any fluid formed will be drained by the lymphatics of the scrotum.
104
Disadvantage of Eversion of the tunica vaginalis in Surgical Treatment in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Sometimes recurrence occurs forming Tyre hydrocele
| 2. Eftekasa only in ASU
105
Overcoming the disadvantage of Eversion of the tunica vaginalis in Surgical Treatment in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Under-running sutures are taken in the free edge of the tunica
106
Subtotal excision of the tunica vaginalis in Surgical Treatment in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Meaning of subtotal
| 2. Indications
107
Meaning of subtotal in Subtotal excision of the tunica vaginalis in Surgical Treatment in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Removal of all tunica except the visceral layer
108
Indications of Subtotal excision of the tunica vaginalis in Surgical Treatment in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. a large hydrocele
| 2. Thick walled or calcified tunica vaginalis
109
Plication of tunica vaginalis in Surgical Treatment in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Alternative name
2. Principle
3. Indications
4. Advantages
110
Alternative name for Plication of tunica vaginalis in Surgical Treatment in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Lord's operation
111
Principle of Plication of tunica vaginalis in Surgical Treatment in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
A series of 10-12 absorbable sutures "chromic catgut" are woven radially from the free edge of the tunica to the reflection of the tunica from the testis & epididymis.
112
Indications of Plication of tunica vaginalis in Surgical Treatment in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Suitable only for cases where the tunica is not thickened "thin tunica"
113
Advantages of Plication of tunica vaginalis in Surgical Treatment in TREATMENT of Primary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Less incidence of bleeding & scrotal haematoma.
| 2. No Recurrence.
114
Secondary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Etiology
2. Examination
3. Treatment
4. Note
115
Etiology of Secondary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
a) Acute hydrocele
| b) Chronic hydrocele
116
Etiology of Acute hydrocele in Etiology of Secondary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Acute epididymo-orchitis
or
2. Testicular tumour.
117
Etiology of Chronic hydrocele in Etiology of Secondary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. Testis Pathology
2. Epididymis Pathology
3. Spermatic cord Pathology
4. Post-operative Etiology
118
Testis Pathology in Etiology of Chronic hydrocele in Etiology of Secondary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Malignant tumours
119
Epididymis Pathology in Etiology of Chronic hydrocele in Etiology of Secondary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. T.B
2. bilharziasis
3. Filariasis.
120
Spermatic cord Pathology in Etiology of Chronic hydrocele in Etiology of Secondary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Varicocele
121
Post-operative Etiology in Etiology of Chronic hydrocele in Etiology of Secondary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. After herniorrhaphy if external ring is made tight
| 2. After inguinal varicocelectomy.
122
Examination of Secondary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
1. 2ry hydrocele is small and lax
| 2. Detected by pinch test
123
Treatment of Secondary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Treatment of the cause
124
Note about Secondary hydrocele in Etiology of Vaginal Hydrocele in Hydrocele of the tunica vaginalis in CLASSIFICATION of Hydrocele
Beware of acute hydrocele in a young man, there may be an underlying testicular neoplasm
