title: Ten year experience of laparoscopic repair of pediatric hydrocele and the long-term follow-up results.
abstract: OBJECTIVE
  This study aims to assess the efficacy and safety of laparoscopic repair for pediatric hydroceles and its long-term follow-up results.
  
  
  METHODS
  We performed this procedure to 284 patients from 2002 to 2011 using our specially designed curved awl. The patent internal ring was enclosed and fixed under laparoscopy and fluid within the patent processus vaginalis was emptied by percutaneous needle aspiration.
  
  
  RESULTS
  The median operation time was 16minutes. Fifty-seven contralateral open internal rings were diagnosed during laparoscopic exploration and closed at the same time. During our 10-year follow-up only four kids had recurrence of moderate amount of fluid accumulation 1-3months after the surgery and 3 of them spontaneously resolved during the outpatient follow-ups. Only one of them was treated by percutaneous needle aspiration successfully. No abdominal viscera injury happened.
  
  
  CONCLUSIONS
  Laparoscopic hydrocele repair proved to be applicable and effective with satisfactory long-term results according to our experience.
authors.affiliation: Department of Pediatric Surgery, West China Hospital, Sichuan University, China.
authors.forename: Xiao-Dong
authors.initials: XD
authors.lastname: Yang
authors.affiliation: Department of Pediatric Surgery, West China Hospital, Sichuan University, China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Wu
authors.affiliation: Department of Pediatric Surgery, West China Hospital, Sichuan University, China. Electronic address: xbljx@hotmail.com.
authors.forename: Bo
authors.initials: B
authors.lastname: Xiang
authors.affiliation: Department of Medical Statistics, West China School of Public Health, Sichuan University, China.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Wong
authors.affiliation: Department of Surgery, The University of Hong Kong, Hong Kong.
authors.forename: Jiao
authors.initials: J
authors.lastname: Pei
authors.affiliation: Department of Pediatric Surgery, West China Hospital, Sichuan University, China.
authors.forename: Fu-Yu
authors.initials: FY
authors.lastname: Li
mesh_terms: D001707:Biopsy, Needle; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000379:methods / Q000706:statistics & numerical data*; D008297:Male; D009339:Needles; D061646:Operative Time; D012008:Recurrence; D013396:Suction; D006848:Testicular Hydrocele / Q000601:surgery*; D013997:Time Factors; D014945:Wound Healing
keywords: Follow-up; Hydrocele; Laparoscopy; Pediatric