How does coleoplastic effusion do
summary
Cousin recently felt lower body swelling and pain, and even walking inconvenience in serious cases. He has never had such a situation before. The doctor said that this is hydrocele, which can be relieved by taking medicine. Now let me talk about how to do with hydrocele.
How does coleoplastic effusion do
First: communicating hydrocele: the operation method is similar to that of inguinal hernia. In addition to the removal of the tunica vaginalis, the sheath tube communicating with the abdominal cavity should be ligated at the inguinal inner ring and suspended at a high position. The most common operation method is coleoplasty. For large hydrocele, most of the tunica vaginalis were removed and turned over to the back of testis and spermatic cord. The tunica vaginalis serosa was sutured outwards. When suturing the tunica vaginalis of spermatic cord, it should not be too tight, so as to avoid blocking blood circulation and testicular atrophy.
Second: partial excision of tunica vaginalis: it is suitable for small hydrocele of spermatic cord, large hydrocele of tunica vaginalis in middle-aged and elderly patients with serious adhesion around tunica vaginalis and difficult to separate in large area. After excision of the tunica vaginalis of the anterior wall of the cyst, the incision edge of tunica vaginalis was tightly sutured with the intima to prevent the recurrence of bleeding and adhesion.
Third: excision of tunica vaginalis: also commonly used, suitable for hydrocele of spermatic cord. The hydrocele was carefully separated from the spermatic cord and completely removed. The effect of operation is definite and the complication is low. The common complications included incision infection, hemorrhage, scrotal edema, spermatic cord and testicular injury, testicular atrophy, etc. The operation should be strictly hemostasis, careful separation, protection of spermatic cord and testis. If other lesions are found during the operation, appropriate treatment should be given.
matters needing attention
Although surgery can be used to treat hydrocele, because of the complete excision of the tunica vaginalis, reversal surgery is necessary. Its blood vessels are also very rich, prone to infection and hematoma, after surgery, but also incision pus, the wound is easy to cause atrophy or infertility due to compression of the testis.