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Abstracts
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Biography - Main
Abstracts
By
Mohamed Samir A. Abdel-Rheem
Cons. Of surgery, Damanhour National Medical Institute
Damanhour, Egypt.
Cause of primary vaginal hydrocele and ascites in advanced liver cirrhosis
Mohamed Samir A. A. Abdel-Rheem MB, BCh, MS , 1, Damanhour, Egypt
Available online 18 March 2004.
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Abstract
Primary hydrocele occurs due to a great reduction in protein outflow from the
tunica vaginalis cavity and is not due to obstruction of fluid outflow because
fluid continues to flow at a nearly normal rate. Fluid collects because of the
increased osmotic pressure due to retained proteins and cholesterol. In other
words, the fluid is captured from within the sac. Increased capillary
permeability is secondary to the increased amount of hydrocele fluid. In
idiopathic hydrocele, the hinderance of protein is due to the obstruction of the
pores in the intercellular cement substance of the seroendothelial membrane. In
acquired hydrocele, the hinderance of protein is due to lymphatic obstruction.
The same mechanism may be applied to the occurrence of ascites in advanced liver
cirrhosis.
If we are able to recognize the substance that occludes the intercellular pores
and dissolve it so the occluded pores are reopened, thus allowing the passage of
hindered proteins, operation can be avoided and the problem of ascites can be
solved.
Article Outline
Reference :
The American Journal of Surgeryþ
Vol 146, Nov 1983
647-51
Biography - Main
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