TO EVALUATE THE OUTCOME JABOULY’S PROCEDURE IN HYDROCELE PATIENTS AT PMCH NAWABSHAH

Abstract

ABSTRACT
INTRODUCTION: Hydrocele is an abnormal collection of serous fluid in layers of Tunica
Vaginallis. It is the most common benign scrotal swelling. It is found in 1% in adult male
population and around 80-90% male children are vulnerable to develop a patent processus
vaginalis (PPV) which, later on decreases to 25-40% at the age of 2 years and 20% till adult life.
It is commonly treated by surgery. Jabouly’s procedure is the better option with least complication rate. OBJECTIVE: To determine the outcome of Jabouly’s procedure in Hydrocele patients. MATERIAL METHODS: This is a 01 year cross sectional study done at surgical Unit 1from 3rd October 2019 to 2nd October 2020. Complete history and clinical examination of inguino-scrotal region was done in order to differentiate scrotal and inguinal conditions. Regional lymph nodes were palpated. Routine blood investigations apart from viral markers like HBsAg, HCV, HIV, and COVID-19 were done. Patient was operated and complications were assessed in order to make results. RESULTS: Total patients included in this study were 80. Of them, 50 (62%) patients had right sided hydrocele and 30 (38%) patients were diagnosed as left sided hydrocele. Hematoma was found to be in 4(5%), edema and hardening in 6(7.5%), wound sepsis in 1(1.25%), recurrence in 2(2.50%) and wound dehiscence in 1(1.25%) patients. CONCLUSION: It is concluded that jabouly’s procedure is the better one with good success rate and least complication rate.