内視鏡下陰嚢水瘤焼灼術の試み

Abstract

We used an endoscopic technique for the treatment of three relatively large hydroceles in which the capacity of intra-cele fluid was suspected to be 200 ml and more. Modified laparoscopic trocar was inserted into the hydrocele. The resectoscope with a 30-degree lens was inserted via the trocar into the hydrocele. With video monitoring and continuous flow of irrigant, the parietal surface of the hydrocele was completely fulgurated. The resectoscope was then removed and a Penrose drain was placed through the trocar into the sac. The trocar was removed over the drain and the drain was secured in place. Although postoperative convalescence was not minimal, the patients were receptive well. This technique was useful for the treatment of three relatively large hydroceles.