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Primary hydrocoeles in infants and children

Zaheeruddin Qureshi1, Sarfaraz Ahmed, Irfan Zaffar Haider

  • 1Department of Surgery, Ayub Medical College, Abbottabad, Pakistan.

Journal of Ayub Medical College, Abbottabad : JAMC
|March 12, 2013
PubMed

Insights

This study found that primary hydrocoeles in children are most common between 2-3 years old. Herniotomy is an effective treatment with rare complications when performed after six months of age.

Area of Science:

  • Pediatric Surgery
  • Urology

Background:

  • Hydrocoele involves abnormal serous fluid accumulation in the tunica vaginalis, presenting as primary (congenital/acquired) or secondary types.
  • Primary hydrocoele is a common pediatric condition requiring surgical consideration.

Purpose of the Study:

  • To determine the frequency of primary hydrocoeles in pediatric patients at Ayub Teaching Hospital, Abbottabad.
  • To analyze the incidence and outcomes of hydrocoele surgery in children.

Main Methods:

  • A prospective study conducted from February 2007 to February 2009.
  • Inclusion criteria: Children over 6 months of age with hydrocoeles who underwent surgery.
  • Data collection via proforma, followed by analysis and conclusion drawing.

Main Results:

  • 186 children underwent surgery for hydrocoele.
  • The highest incidence (37%) was observed in the 2-3 years age group.
  • Complications included vas injury in 0.7% and scrotal hematoma in 18%; infection rate was 0%.

Conclusions:

  • Surgical intervention for pediatric hydrocoele is recommended after 6 months of age.
  • Herniotomy is identified as the optimal treatment for hydrocoele.
  • Complications associated with herniotomy are infrequent when performed by experienced surgeons.
Abstract

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