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Use of a vessel-sealing device compared with Jaboulay's technique for adult hydrocelectomy surgery: a retrospective cohort study

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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.

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Data Availability

The authors confirm that the data supporting the findings of this study are available within the article and its supplementary materials. Additional data that support the findings of this study are available from the corresponding author upon reasonable request.

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Funding

No funding was received for conducting this study.

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Authors and Affiliations

  1. Department of Urology, Hillel Yaffe Medical Center, affiliated to Technion-Israel Institute of Technology, Ha-Shalom St, 38100, Hadera, Israel

    Ronen Rub, Ghalib Lidawi, Alaa Masoud & Muhammad Majdoub

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  1. Ronen Rub
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  2. Ghalib Lidawi
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  3. Alaa Masoud
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  4. Muhammad Majdoub
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Correspondence to Muhammad Majdoub.

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Conflict of interest

The authors have no relevant financial or non-financial interests to disclose.

Ethical approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Hillel Yaffe Medical Center.

Research involving human participants and/or animals

The study was performed in accordance with the ethical principles of the 1964 Declaration of Helsinki and it’s later amendments or comparable ethical standards. This study was approved by the Institutional Review Board Ethics Committee of Hillel Yaffe Medical Center, study approval number 0152-22-HYMC-.

Informed consent

Due to the retrospective nature of this paper, the local ethics committee approved a consent waiver and as such, cases included in the analysis were not required to provide an informed consent.

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Rub, R., Lidawi, G., Masoud, A. et al. Use of a vessel-sealing device compared with Jaboulay's technique for adult hydrocelectomy surgery: a retrospective cohort study. Updates Surg (2024). https://doi.org/10.1007/s13304-024-01838-y

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