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标题：Treatment of hydrocele by a general surgeon practicing in a rural resource-poor setting in Africa
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作者：P Chiron ; N Amadane ; S Bonnet 等
期刊名称：Médecine et Santé Tropicales
印刷版ISSN：1157-5999
电子版ISSN：1950-6953
出版年度：2014
卷号：24
期号：1
页码：32-38
DOI：10.1684/mst.2014.0286
出版社：John Libbey Eurotext
摘要：Figures Authors P Chiron ¹ ² * N Amadane ² S Bonnet ³ J Laroche ² R Fournier ² P-H Savoie ² 1 Service de chirurgie urologique, HIA Val-de-Grâce, Paris 2 Service de chirurgie urologique, HIA Sainte-Anne, BP 600, 83800 Toulon Cedex 09 3 Service de chirurgie viscérale, HIA Percy, Clamart * Correspondance Key words: hydrocele, Africa, isolated area, fenestration, plication, resection DOI : 10.1684/mst.2014.0286 Page(s) : 32-8 Published in: 2014 Hydrocele in adults is a collection of peritesticular fluid between the parietal and visceral layers of the tunica vaginalis testis. An endemic disease in Africa, its cause is either idiopathic or a reaction to filariasis. In the absence of treatment, its volume increases spontaneously. The onset of symptoms justifies treatment. In tropical zones, surgery is the most effective treatment. The technique must be simple to perform, require few resources, and limit the risks of complication. Three surgical techniques should be used. In resource-poor practice conditions, fenestration and, to a lesser extent, plication are the techniques most appropriate when the tunica vaginalis is essentially healthy. Only resection is possible when it is damaged.
关键词：hydrocele; Africa; isolated area; fenestration; plication; resection