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Surgery Hernia fb3a41ec

Hydrocele in a child managed by:

A
Herniotomy
B
Plication of sac
C
Eversion of sac
D
Inversion of sac
High-Yield Explanation
Ans. (a) HerniotomyRef-.Bailey and Love 26th ed., ch. 79 /1382* Congenital hydroceles are treated by herniotomy if they do not resolve spontaneously* Lord's operation is suitable when the sac is reasonably thin-walled. There is minimal dissection and the risk of haematoma is reduced.* Eversion of the sac with placement of the testis in a pouch prepared by dissection in the fascial planes of the scrotum is an alternative (Jaboulay's procedure)* Aspiration of the hydrocele fluid is simple, but the fluid always reaccumulates within a week or so. It may be suitable for men who are unfit for scrotal surgery

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