TY - CHAP M1 - Book, Section TI - Hydrocele Repair A1 - Ellison, E. Christopher A1 - Zollinger, Jr., Robert M. A1 - Pawlik, Timothy M. A1 - Vaccaro, Patrick S. A1 - Bitans, Marita A1 - Baker, Anthony S. Y1 - 2022 N1 - T2 - Zollinger’s Atlas of Surgical Operations, 11e AB - A hydrocele represents a collection of fluid between the serosal and peritoneal layers of the tunica vaginalis and can be distinguished as either communicating or noncommunicating. A communicating hydrocele arises from a patency of the processus vaginalis that has failed to close following testicular descent. This represents a spectrum of disease that includes an indirect inguinal hernia. Communicating hydroceles occurring within the first years of life seldom require operation because they will often disappear without treatment. If a communicating hydrocele persists beyond 2 years of age or is symptomatic at any time, surgery is recommended, and typically these are addressed via an inguinal incision in a method similar to repair of an indirect inguinal hernia. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/25 UR - accesssurgery.mhmedical.com/content.aspx?aid=1187823276 ER -