Evaluation of the expressiveness of postoperative scrotal swelling in children with pathology of the vaginal process of the peritoneum with different treatment methods
DOI:
https://doi.org/10.15574/SP.2023.135.73Keywords:
scrotum swelling index, vaginal process of the peritoneum, inguinal hernia, hydrocele testis, children, Duhamel hernia repair, Ross hydrocele repair, obliteration, internal inguinal ringAbstract
Congenital malformations, the cause of which is a disturbance of the obliteration of the vaginal process of the peritoneum, such as an inguinal hernia, hydrocele testis, occupy one of the leading places among childhood diseases. This explains the continuation of scientific observations and the analysis of various methods of treatment of patients with lesions of the vaginal process of the peritoneum. Researchers note the possibility of certain complications among male patients, such as swelling of the scrotum, postoperative hydrocele testis, iatrogenic retraction of the testicle (acquired cryptorchidism). This became the reason for additional study of such a complication as postoperative swelling of the scrotum.
Purpose - to analyze the severity of postoperative swelling of the scrotum depending on the methods of surgical correction of the pathology in patients with nonoblitereted vaginal process of the peritoneum.
Materials and methods. 91 children who underwent surgical correction of the pathology of nonobliterated vaginal process of the peritoneum (inguinal hernias, hydrocele testis) participated in the conducted scientific study. Patients were assessed for postoperative swelling of the scrotum depending on the method of surgical correction of the pathology.
Results. The degree of postoperative swelling of the scrotum in patients with pathology of the vaginal process of the peritoneum is directly proportional to the severity of tissue injury during surgical correction in patients with nonoblitereted vaginal process of the peritoneum.
Conclusions. Any surgical intervention entails certain consequences that are associated with a violation of the integrity of the body. And although these complications are temporary, a qualitative assessment of their severity can become the basis for choosing a particular method of surgical treatment. The obtained data show the severity of postoperative swelling of the scrotum and the dynamics of its changes depending on access for surgical manipulation. The less soft tissue is injured to access the internal inguinal ring, the smaller the postoperative swelling and the better its dynamics.
The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of participating institution. The informed consent of the patient was obtained for conducting the studies.
No conflict of interest was declared by the authors.
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