Abdominoscrotal hydrocele laporoscopic approach in operative treatment of children
Abstract
Abdominoscrotal hydrocele (hydrocele en-bisac, dumbbell-shaped hydrocele) is a type of noncommunicating hydrocele consisting of scrotal and abdominal components connected by an isthmus in the inguinal canal. Until now, this disease has been a casuistry because since 1777 only 579 cases have been recorded in the world. In the surgical children’s department of the Minsk Regional Children’s Hospital during the period from October 2022 to October 2023 this diagnosis was made intraoperatively to 5 children. The paper presents the experience of using laparoscopic hydrocelectomy of the abdominal component through a single-trocar in combination with laparoscopic extraperitoneal ligature herniorrhaphy. The operation technique and the results of the treatment are described in the article. According to the authors, the given surgical technique has good prospects for wide practical application.
References
1. Mashkov A. E., Slesarev V. V., Druzyuk E. Z. Abdominoscrotal hydrocele in an infant. Detskaya khirurgiya. 2019; 23 (4): 218—19. doi: 10.18821/1560-9510-2019-234-218-219. [(in Russian)]
2. Okulov A. B., Volod‘ko E. A., Godlevskij D. N. and others. A clinical case of a giant abdominoscrotal hydrocele in 8-month-old child. Pediatriya. Zhurnal im. G. N. Speranskogo. 2018; 97 (5): 201—4. doi: 10.24110/0031-403X-2018-97-5-201-204 [(in Russian)]
3. Swarnkar M., Tanveer Khan P. Abdominoscrotal Hydrocele: an uncommon cause of abdominoscrotal cystic swelling. Case Rep. Urol. 2021; 2021: 6655127. doi: 10.1155/ 2021/6655127.
4. Costantino E., Ganesan G. S., Plaire J. C. Abdominoscrotal hydrocele in an infant boy BMJ Case Rep. 2017; 5: 113—20. doi: 10.1136/bcr-2017-220370.
5. Horst M., Willi U., Gobet R. Retroperitoneoscopically assisted repair of an abdominoscrotal hydrocele. J. Pediatr. Urol. 2007; 3 (1): 66—9. doi: 10.1016/j.jpurol.2006.02.007.
6. Asanad K., Banapour P, MetzdorfM. Use of diagnostic laparoscopy for identification of bilateral noncommunicating hydroceles in an infant with right-sided abdominoscrotal mass and left-sided scrotal mass. Case Rep. Urol. 2017; 2017: 8602584. doi: 10.1155/2017/8602584.
7. Czerwinska K., Brzewski M., Majkowska Z. et al. The abdominoscrotal hydrocele in the infant — case report. Pol. J. Radiol. 2014; 79: 108—11. doi: 10.12659/PJR.890148.
8. Hisamatsu E., Takagi S., Nomi M., Sugita Y. A case of bilateral abdominoscrotal hydroceles without communication with the peritoneum. Indian J. Urol. 2010; 26 (1): 129—30. doi: 10.4103/0970-1591.60461.
Review
For citations:
Nikulenkov A.V. Abdominoscrotal hydrocele laporoscopic approach in operative treatment of children. Healthcare. 2024;(5):5-8. (In Russ.)
Views:
9
Email this article 