Author(s): Dr. Girish Pandey

Abstract: Introduction: Hydrocele is defined as abnormal collection of serous fluid in some part of Processus vaginalis, usually in tunica. It is a very common problem all over world. Requires operative procedure for cure. There are various operative methods for treatment of hydrocele. The common problem which comes to surgeons mind while closing scrotal wound is to put a drain or not. Drains are believed to prevent scrotal haematoma and thus wound infections. Our study was done with the aim of comparing advantages of putting routine scrotal drains to no drains in affecting surgical outcome. Materials and methods: A study was carried out on 60 patients of idiopathic primary hydrocele attending department of surgery at HIMS Varanasi between January 2020 to september2021.Patients were divided into two groups. In group A, which included 30 patients drain was kept and in group B, which included 30 patients no drain was kept. Summary: The study consisted of operative treatment of primary hydrocele by eversion of sac. After eversion of sac, in one group drain was kept and in another group, no drain was kept. Both groups than assessed for post-operative pain, haematoma, wound infection and hospital stay. Conclusion: Routine use of scrotal drain not advocated in all cases of primary vaginal hydrocele if meticulous hemostasis achieved. Use of electro cautery has significantly decreased bleeding and haematoma chances.

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