Question
The patient is a 7-year-old child with a right inguinal hernia for 6 years, without any obvious symptoms. Some say it’s an intestinal prolapse, and others suggest a hydrocele. What is the actual condition, and how should it be treated? Thank you!
Answer
Hello: Based on the patient’s condition, it can be considered a hernia. It is recommended to go to the hospital for examination to allow the attending physician to make a diagnosis. Surgical treatment is applicable for larger hydroceles and generally involves orchidopexy surgery, varicocele hydrocele involves cyst excision surgery, and transudative hydrocele requires high ligation at the processus vaginalis with hydrocele inversion surgery. For small hydroceles, cyst puncture and fluid aspiration with drug injection can be performed after the fluid is aspirated. The treatment effect is good, but there are controversies about complications. The principle of medication: preoperative and postoperative medication is mainly antibiotics, which are used to prevent and treat infection to ensure the success of the operation. For elderly patients, supportive therapy can be strengthened as needed, and a small amount of whole blood or human serum albumin can be administered. Postoperative hemostatic drugs can reduce bleeding from the scrotal wall or tunica vaginalis.