Cargando…

A comparison of a novel endoscopic “Su-Wang technique” with the open “Jaboulay’s procedure” for the surgical treatment of adult primary vaginal hydrocele

This paper was aimed to introduce and compare outcomes of a novel “Su-Wang (S-W) technique” for endoscopic treatment of adult hydrocele with conventional open hydrocelectomy with “Jaboulay’s (JA) procedure” regarding adverse events (AEs) and patient satisfaction. In the randomized controlled trial,...

Descripción completa

Detalles Bibliográficos
Autores principales: Lei, Junhao, Luo, Chunhua, Zhang, Yangyang, Guo, Yuming, Su, Xinjun, Wang, Xinghuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6591509/
https://www.ncbi.nlm.nih.gov/pubmed/31235709
http://dx.doi.org/10.1038/s41598-019-45229-5
_version_ 1783429747082002432
author Lei, Junhao
Luo, Chunhua
Zhang, Yangyang
Guo, Yuming
Su, Xinjun
Wang, Xinghuan
author_facet Lei, Junhao
Luo, Chunhua
Zhang, Yangyang
Guo, Yuming
Su, Xinjun
Wang, Xinghuan
author_sort Lei, Junhao
collection PubMed
description This paper was aimed to introduce and compare outcomes of a novel “Su-Wang (S-W) technique” for endoscopic treatment of adult hydrocele with conventional open hydrocelectomy with “Jaboulay’s (JA) procedure” regarding adverse events (AEs) and patient satisfaction. In the randomized controlled trial, adult males with primary hydroceles were prospectively assigned into S-W or JA group. We recorded perioperative data and postoperative AEs (incision length, recurrence, hematoma, wound infection and edema vanished time). Finally, a total of 42 adult patients underwent the S-W (n = 22) or JA (n = 20) procedure. Procedures were successfully completed for all 42 patients. No significant differences were found between the two groups regarding age, symptom duration, body mass index, and size of the hydrocele. The incision length was significantly shorter in the S-W group (1.00 ± 0.24 cm) than in the JA group (6.10 ± 1.46 cm). After 6 months’ follow-up, complete data of 90.5% (38/42) were obtained. Severe AEs did not occur in any patient. Recurrence, hematoma, wound infection, edema vanished time values, and satisfaction in the S-W group were superior to those in the JA group. All patients in the S-W group were satisfied with this novel procedure, particularly due to the minimally invasive incision. In conclusion, the novel “S-W technique” for hydrocelectomy provided satisfactory cosmetic results with a 1-cm scrotal incision only. With the near-complete excision of the parietal TV, it resulted in no recurrence, fewer AEs, and rapid postoperative rehabilitation in comparison to the traditional “JA procedure.” The endoscopic “S-W technique” may be a viable alternative for the surgical treatment of adult primary vaginal hydrocele.
format Online
Article
Text
id pubmed-6591509
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Nature Publishing Group UK
record_format MEDLINE/PubMed
spelling pubmed-65915092019-07-03 A comparison of a novel endoscopic “Su-Wang technique” with the open “Jaboulay’s procedure” for the surgical treatment of adult primary vaginal hydrocele Lei, Junhao Luo, Chunhua Zhang, Yangyang Guo, Yuming Su, Xinjun Wang, Xinghuan Sci Rep Article This paper was aimed to introduce and compare outcomes of a novel “Su-Wang (S-W) technique” for endoscopic treatment of adult hydrocele with conventional open hydrocelectomy with “Jaboulay’s (JA) procedure” regarding adverse events (AEs) and patient satisfaction. In the randomized controlled trial, adult males with primary hydroceles were prospectively assigned into S-W or JA group. We recorded perioperative data and postoperative AEs (incision length, recurrence, hematoma, wound infection and edema vanished time). Finally, a total of 42 adult patients underwent the S-W (n = 22) or JA (n = 20) procedure. Procedures were successfully completed for all 42 patients. No significant differences were found between the two groups regarding age, symptom duration, body mass index, and size of the hydrocele. The incision length was significantly shorter in the S-W group (1.00 ± 0.24 cm) than in the JA group (6.10 ± 1.46 cm). After 6 months’ follow-up, complete data of 90.5% (38/42) were obtained. Severe AEs did not occur in any patient. Recurrence, hematoma, wound infection, edema vanished time values, and satisfaction in the S-W group were superior to those in the JA group. All patients in the S-W group were satisfied with this novel procedure, particularly due to the minimally invasive incision. In conclusion, the novel “S-W technique” for hydrocelectomy provided satisfactory cosmetic results with a 1-cm scrotal incision only. With the near-complete excision of the parietal TV, it resulted in no recurrence, fewer AEs, and rapid postoperative rehabilitation in comparison to the traditional “JA procedure.” The endoscopic “S-W technique” may be a viable alternative for the surgical treatment of adult primary vaginal hydrocele. Nature Publishing Group UK 2019-06-24 /pmc/articles/PMC6591509/ /pubmed/31235709 http://dx.doi.org/10.1038/s41598-019-45229-5 Text en © The Author(s) 2019 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Lei, Junhao
Luo, Chunhua
Zhang, Yangyang
Guo, Yuming
Su, Xinjun
Wang, Xinghuan
A comparison of a novel endoscopic “Su-Wang technique” with the open “Jaboulay’s procedure” for the surgical treatment of adult primary vaginal hydrocele
title A comparison of a novel endoscopic “Su-Wang technique” with the open “Jaboulay’s procedure” for the surgical treatment of adult primary vaginal hydrocele
title_full A comparison of a novel endoscopic “Su-Wang technique” with the open “Jaboulay’s procedure” for the surgical treatment of adult primary vaginal hydrocele
title_fullStr A comparison of a novel endoscopic “Su-Wang technique” with the open “Jaboulay’s procedure” for the surgical treatment of adult primary vaginal hydrocele
title_full_unstemmed A comparison of a novel endoscopic “Su-Wang technique” with the open “Jaboulay’s procedure” for the surgical treatment of adult primary vaginal hydrocele
title_short A comparison of a novel endoscopic “Su-Wang technique” with the open “Jaboulay’s procedure” for the surgical treatment of adult primary vaginal hydrocele
title_sort comparison of a novel endoscopic “su-wang technique” with the open “jaboulay’s procedure” for the surgical treatment of adult primary vaginal hydrocele
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6591509/
https://www.ncbi.nlm.nih.gov/pubmed/31235709
http://dx.doi.org/10.1038/s41598-019-45229-5
work_keys_str_mv AT leijunhao acomparisonofanovelendoscopicsuwangtechniquewiththeopenjaboulaysprocedureforthesurgicaltreatmentofadultprimaryvaginalhydrocele
AT luochunhua acomparisonofanovelendoscopicsuwangtechniquewiththeopenjaboulaysprocedureforthesurgicaltreatmentofadultprimaryvaginalhydrocele
AT zhangyangyang acomparisonofanovelendoscopicsuwangtechniquewiththeopenjaboulaysprocedureforthesurgicaltreatmentofadultprimaryvaginalhydrocele
AT guoyuming acomparisonofanovelendoscopicsuwangtechniquewiththeopenjaboulaysprocedureforthesurgicaltreatmentofadultprimaryvaginalhydrocele
AT suxinjun acomparisonofanovelendoscopicsuwangtechniquewiththeopenjaboulaysprocedureforthesurgicaltreatmentofadultprimaryvaginalhydrocele
AT wangxinghuan acomparisonofanovelendoscopicsuwangtechniquewiththeopenjaboulaysprocedureforthesurgicaltreatmentofadultprimaryvaginalhydrocele
AT leijunhao comparisonofanovelendoscopicsuwangtechniquewiththeopenjaboulaysprocedureforthesurgicaltreatmentofadultprimaryvaginalhydrocele
AT luochunhua comparisonofanovelendoscopicsuwangtechniquewiththeopenjaboulaysprocedureforthesurgicaltreatmentofadultprimaryvaginalhydrocele
AT zhangyangyang comparisonofanovelendoscopicsuwangtechniquewiththeopenjaboulaysprocedureforthesurgicaltreatmentofadultprimaryvaginalhydrocele
AT guoyuming comparisonofanovelendoscopicsuwangtechniquewiththeopenjaboulaysprocedureforthesurgicaltreatmentofadultprimaryvaginalhydrocele
AT suxinjun comparisonofanovelendoscopicsuwangtechniquewiththeopenjaboulaysprocedureforthesurgicaltreatmentofadultprimaryvaginalhydrocele
AT wangxinghuan comparisonofanovelendoscopicsuwangtechniquewiththeopenjaboulaysprocedureforthesurgicaltreatmentofadultprimaryvaginalhydrocele