Related Experiment Video

Updated: Feb 1, 2026

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
05:30

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

Published on: February 14, 2025

1.6K

Comparison of Recurrence and Postoperative Complications Between 3 Different Techniques for Surgical Repair of

Lawrence Tsai1, Preston A Milburn1, Charles L Cecil2

  • 1Baylor Scott and White Health, Department of Surgery, Division of Urology, Temple TX.

Urology
|December 16, 2018
PubMed

Insights

Lord's repair, hydrocelectomy, and Jaboulay's bottleneck are surgical options for idiopathic hydrocele. Lord's repair demonstrated a lower complication rate, particularly for hematoma, without affecting recurrence rates.

Area of Science:

  • Urology
  • Surgical Techniques

Background:

  • Idiopathic hydrocele is a common condition requiring surgical intervention.
  • Several surgical techniques exist for hydrocele repair, including Jaboulay's bottleneck, hydrocelectomy, and Lord's technique.
  • Comparative data on recurrence and complication rates among these techniques is valuable for clinical decision-making.

Purpose of the Study:

  • To compare the recurrence and complication rates of three distinct surgical techniques for idiopathic hydrocele: Jaboulay's bottleneck, hydrocelectomy, and Lord's technique.

Main Methods:

  • A retrospective review of 276 idiopathic hydrocele surgeries performed between 2000 and 2011.
  • Data collection included surgical technique, recurrence rates, complication rates (hematoma, testalgia, infection), and fluid volume removed.
  • Statistical analysis was performed to compare outcomes between Jaboulay's repair, hydrocelectomy, and Lord's repair.

Main Results:

  • No statistically significant difference in recurrence rates (6% overall) was observed among the three surgical techniques.
  • Lord's repair was associated with a significantly lower overall complication rate (P = .0016) and hematoma rate (P = .023) compared to the other methods.
  • Fluid volumes removed ranged from 200 mL (Jaboulay's) to 270 mL (hydrocelectomy and Lord's), with the largest hydrocele (2.4 L) treated using Lord's repair.

Conclusions:

  • Open hydrocele surgery recurrence rates are consistently around 6% and are not influenced by the surgical technique employed.
  • Lord's repair offers a favorable safety profile, demonstrating the lowest rates of overall complications and postoperative hematoma.
  • Lord's repair is confirmed as an effective and safe surgical option for managing idiopathic hydroceles.
Abstract

More Related Videos

Author Spotlight: A Novel 3D-Printed Titanium Implant for Minimally Invasive Treatment of Hip Dysplasia in Young Dogs08:40

Author Spotlight: A Novel 3D-Printed Titanium Implant for Minimally Invasive Treatment of Hip Dysplasia in Young Dogs

Published on: April 19, 2024

3.7K
Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications09:41

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

1.7K

Related Concept Videos

Mismatch Repair01:36

Mismatch Repair

Overview
43.7K
Overview of DNA Repair02:25

Overview of DNA Repair

In order to be passed through generations, genomic DNA must be undamaged and error-free. However, every day, DNA in a cell undergoes several thousand to a million damaging events by natural causes and external factors. Ionizing radiation such as UV rays, free radicals produced during cellular respiration, and hydrolytic damage from metabolic reactions can alter the structure of DNA. Damages caused include single-base alteration, base dimerization, chain breaks, and cross-linkage.
Chemically...
33.7K
Base Excision Repair01:54

Base Excision Repair

One of the common DNA damages is the chemical alteration of single bases by alkylation, oxidation, or deamination. The altered bases cause mispairing and strand breakage during replication. This type of damage causes minimal change to the DNA double helix structure and can be repaired by the base excision repair (BER) pathways. BER corrects damaged DNA sequences by removing the damaged base and restoring the original base sequence using the complementary strand as a template.
The first step of...
26.3K
Nucleotide Excision Repair01:08

Nucleotide Excision Repair

Overview
40.8K
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
815
The Sense of Self: Reflected Self-Appraisal and Social Comparison02:57

The Sense of Self: Reflected Self-Appraisal and Social Comparison

According to Charles Cooley, we base our image on what we think other people see (Cooley 1902). We imagine how we must appear to others, then react to this speculation. We don certain clothes, prepare our hair in a particular manner, wear makeup, use cologne, and the like—all with the notion that our presentation of ourselves is going to affect how others perceive us. We expect a certain reaction, and, if lucky, we get the one we desire and feel good about it. But more than that, Cooley...
56.1K