Modified Scrotal Approach for Correction of Abdominoscrotal Hydrocele in Children: Clinical Presentation and Description of Technique

Use of Diagnostic Laparoscopy for Identification of Bilateral Noncommunicating Hydroceles in an Infant with Right-Sided Abdominoscrotal Mass and Left-Sided Scrotal Mass

“…Although diagnostic laparoscopy carries additional surgical risks and may initially seem an invasive strategy to diagnose ASH, we find it helpful to guide our surgical approach in cases with equivocal physical exam and ultrasound findings. We agree with others who have noted increased morbidity with inguinal repair for noncommunicating hydroceles [ 4 ] and prefer scrotal hydrocelectomy in the case of ASH.…”

Abdominoscrotal hydrocele: excision of sac may not be necessary

“…To date, only small singleinstitution series (5 and 7 boys) have reported eversion of ASH. [14,16] Being a very rare condition, we gathered the experience of three institutions in order to compare efficacy of excision and eversion techniques. We hypothesized a simplified scrotal technique with eversion would demonstrate fewer complications, less operative time and equivalent efficacy when compared to standard excision.…”

The Value of Laparoscopy in the Management of Abdominoscrotal Hydroceles

“…There are many different surgical repairs for ASH described in the literature. [8][9][10][11][12] We use laparoscopy as an adjunct to the traditional inguinal approach in which the hydrocele sac is dissected off the spermatic cord and removed in its entirety. This is not a simple procedure as the sac is often adherent to the spermatic cord, making identification and dissection of the vas deferens and spermatic vessels difficult.…”