Abstract：
Hydrocele is a common benign scrotal condition affecting adult men. The gold standard of treatment includes hydrocelectomy, with the use of Winkelman\'s/Jaboulay\'s technique or Lord\'s procedure. The vessel-sealing device (VSD) is a blood vessel-sealing system, known to enhance patient\'s postoperative outcomes in multiple different surgeries. The aim of this study was to compare the procedural and postoperative outcomes of a novel hydrocelectomy method using a VSD to the conventional hydrocelectomy using the Jaboulay\'s technique. We performed A retrospective review for all adult cases who underwent surgical hydrocelectomy at Hillel Yaffe Medical Center between 2011 and 2022. Study cases were grouped into one of two groups, patients undergoing conventional hydrocelectomy, or patients undergoing hydrocelectomy with the use of a VSD. Patients operated using other techniques were excluded. Data collected included demographic data and operative and postoperative parameters. Among 102 patients, 47 underwent Jaboulay\'s technique and 55 underwent hydrocelectomy using a VSD. We observed significantly shorter duration of hospitalization (1.18 vs 1.53, P = 0.038) and shorter surgery time (31.87 vs 37.4, P = 0.003) when using the VSD during a hydrocelectomy compared to conventional surgical hydrocelectomy. Both techniques indicated low complication rates and no recurrent hydrocele was observed in either group. We report our experience with a novel surgical technique that includes hydrocelectomy with the use of VSD. Our findings demonstrated shorter surgery time and length of hospitalizations, which may indicate improved patient\'s postoperative outcomes with the use of the VSD for hydrocelectomy.
摘要：
鞘膜积液是影响成年男性的常见良性阴囊疾病。治疗的黄金标准包括子宫内膜切除术，使用Winkelman/Jaboulay的技术或Lord的程序。血管密封装置(VSD)是一种血管密封系统,已知在多种不同的手术中提高患者的术后预后。这项研究的目的是比较使用VSD的新型液压切除术方法与使用Jaboulay技术的常规液压切除术的手术和术后结果。我们对2011年至2022年期间在HillelYaffe医学中心接受手术性水切除术的所有成人病例进行了回顾性审查。研究病例分为两组，接受常规液压切除术的患者，或使用VSD进行液压切除术的患者。排除使用其他技术进行手术的患者。收集的数据包括人口统计学数据以及手术和术后参数。在102名患者中，47例接受了Jaboulay的技术，55例接受了VSD的水切除术。我们观察到，与传统的手术性膀胱切除术相比，在手术期间使用VSD时，住院时间明显缩短（1.18vs1.53，P=0.038）和手术时间缩短（31.87vs37.4，P=0.003）。两种技术均显示并发症发生率低，两组均未观察到复发性鞘膜积液。我们报告了一种新颖的手术技术的经验，其中包括使用VSD进行的液压切除术。我们的研究结果表明，手术时间和住院时间更短，这可能表明使用VSD进行子宫内膜切除术可改善患者的术后结局。
