乳幼児の特発性陰嚢水腫および精索水腫の成因と手術法に対する検討

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  • THE ETIOLOGY OF AND OPERATION FOR IDIOPATHIC HYDROCELE IN INFANTS

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Some physicians use Bergmann's operation or Winklemann's operation for idiopathic scrotal and funicular hydroceles in infants, because it is said that hypersecretion or incomplete absorption in the remnant of the processus vaginalis causes retention of fluid.<br> I have excised 19 cords (remnant of the processus vaginalis) from 16 patients. No communicating channel between the peritoneal cavity and hydrocele was observed macroscopically, but the existence of a communicating channel was revealed microscopically, except in one serial section.<br> Thinking that the etiology of idiopathic hydrocele is the movement of ascites through this communicating channel, only high ligation of the hernia sac was used according to Ferguson's operation. As a result, sixteen scrotal hydroceles (fourteen patients), eighteen funicular hydroceles, and two Nuck's hydroceles have been cured. Therefore, high ligation of the processus vaginalis is recommended for idiopathic hydrocele in infants as well as for herniorrhaphy.

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