Abdomino-scrotal hydrocele: operative tactics in 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.