Hydrocoele
(Canal of Nuck = female equivalent of processus vaginalis, projecting into labium majora)
Indications
Symptomatic swelling in adults
Procedure
- GA + supine position
- Access tunica
- Stretch scrotal skin
- Incise between visible vessels using either knife or cutting diathermy
- Evacuate fluid
- Make small incision in tunica vaginalis
- Evacuate the fluid
- Repair hydrocoele
- Jaboulay [tie off sac at apex]: using absorbable sutures, stitch edges of tunica behind cord and subsequently return testis to scrotum
- Lords [tie off sac around testis]: using series of interrupted catgut sutures bunching up remaining sac around testis before tying sutures and returning the testis to the scrotum.
- Close wound with interrupted absorbable sutures
