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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
Summary
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.
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