Abstract：
To present our technique using the harmonic scalpel for scrotal, extensive hydrocelectomy in adolescents and its advantages, compared with the historical techniques. Scrotal hydrocelectomy is an old-timer procedure in-which the Lord plication, the Jaboulay and the bottleneck techniques are the standard of care, up to date. A cumbersome, unpleasant scrotal dressing is commonly used to try to mitigate postoperative edema and hematoma.1 The harmonic scalpel denaturates proteins by ultrasonic vibrations, and provides advantages over conventional electrocautery with respect to bleeding, drain volume, postoperative pain, and the return to normal activity.2-5 MATERIALS: Adolescents with a large hydrocele, and no inguinal hernia were selected for this operation. All tissue layers except the skin were divided by harmonic scalpel Focus (Eticon).
Between 2017 and 2023, 43 adolescents at a median age of 14.3years (range 12-18years), were operated with this technique, using the harmonic scalpel, by a single surgeon. Median operative time was 23 minutes (range 18-35 minutes). No scrotal dressing was used. One patient had a postoperative seroma that was drained spontaneously.
The described technique is simple and time-saving, with no postoperative major edema nor hematoma in this series. The only disadvantage is the higher cost of the harmonic scalpel, that may be offset by a short time of recovery. Following our experience, we no longer use other techniques for this surgery.
Between 2017 and 2023, 43 adolescents at a median age of 14.3years (range 12-18years), were operated with this technique, using the harmonic scalpel, by a single surgeon. Median operative time was 23 minutes (range 18-35 minutes). No scrotal dressing was used. One patient had a postoperative seroma that was drained spontaneously.
The described technique is simple and time-saving, with no postoperative major edema nor hematoma in this series. The only disadvantage is the higher cost of the harmonic scalpel, that may be offset by a short time of recovery. Following our experience, we no longer use other techniques for this surgery.
摘要：
目的：为了介绍我们使用谐波手术刀治疗阴囊的技术，青少年广泛的子宫内膜切除术及其优势，与历史技术相比。阴囊积水切除术是一种古老的手术，Jaboulay和瓶颈技术是护理的标准，到目前为止。一个笨重的，不愉快的阴囊敷料通常用于减轻术后水肿和血肿（1）。谐波手术刀通过超声波振动使蛋白质变性，并且在出血方面提供了优于传统电灼术的优势，排水容积,术后疼痛和恢复正常活动（2-5）。
方法：患有巨大鞘膜积液的青少年，并且没有选择腹股沟疝进行此手术。除皮肤外的所有组织层都被谐波手术刀FocusTM(Eticon)分开。
结果：在2017年至2023年之间，有43名青少年的中位年龄为14.3岁（范围为12-18岁），用这种技术操作，使用谐波手术刀，一个外科医生。中位手术时间为23分钟(范围18-35分钟)。没有使用阴囊敷料。一名患者术后血清肿自发引流。
结论：所描述的技术是简单和节省时间，本系列无术后严重水肿或血肿。唯一的缺点是谐波手术刀的成本较高，这可能会被短时间的恢复所抵消。根据我们的经验,我们不再使用其他技术进行手术。
方法：患有巨大鞘膜积液的青少年，并且没有选择腹股沟疝进行此手术。除皮肤外的所有组织层都被谐波手术刀FocusTM(Eticon)分开。
结果：在2017年至2023年之间，有43名青少年的中位年龄为14.3岁（范围为12-18岁），用这种技术操作，使用谐波手术刀，一个外科医生。中位手术时间为23分钟(范围18-35分钟)。没有使用阴囊敷料。一名患者术后血清肿自发引流。
结论：所描述的技术是简单和节省时间，本系列无术后严重水肿或血肿。唯一的缺点是谐波手术刀的成本较高，这可能会被短时间的恢复所抵消。根据我们的经验,我们不再使用其他技术进行手术。
