HIDROKELEKTOMI

introduction
a. definition

A surgery to remove fluid and cut off part of the tunica vaginalis testis
b. scope

All patients who present with scrotal swelling and on examination found a positive transillumination test.

Hydrocele is fluid buildup between the tunica vaginalis testis.

In regard to diagnosis and treatment, required related disciplines of Radiology.
c. indications of surgery

Hydrocele:

- Large that it can suppress the blood vessels to the testicles

- Interfere with or disrupt the activities of daily

- Disturbing cosmetic
d. Contra indications of operation:

general
e. Diagnoses

- Testicular Tumors

- Epididymal Cyst

- Spermatocele

- Hernia scrotalis

f. examination Support

Ultrasound examination when clinical doubt.


Technical Operations

Briefly the technique of hidrokelektomi can be explained as follows:

· With regional or general anesthesia.

· Position the patient supine (supine).

· Disinfection of surgical field with an antiseptic solution.

· Field surgically narrowed with sterile linen.

· Skin incision in the scrotum raphe on the most prominent layer by layer until it looks the tunica vaginalis.

· Guide to meluksir hydrocele blunt preparation, if done immense aspirations hidrokelnya contents of the bag first.

· Incisions are the most prominent part of the hydrocele, then do:

o Techniques Jaboulay: dimarsupialisasi parietal tunica vaginalis and when necessary diplikasi with chromic cat gut string.

Technique o Lord: the tunica vaginalis parietalis diplikasi excised and the edges with yarn chromic cat gut.

· Operation wound was closed layer by layer with threads chromic cat gut.
complications of surgery

Post-surgical complication is bleeding and surgical wound infections.


mortality

(none)
Post-Surgical Care

Treat the wound day 3.