Abstracts

Cause of primary vaginal hydrocele		The use of moist heat

The use of moist heat in HCV treatment		Transfiction Excision in Treatment of Piles
(S) Plasty Instead of (Z) Plasty		Simple Coring of Perianal Fistulae
Skin Seeds
		Arabic Book cover

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.

References and further reading may be available for this article. To view references and further reading you must purchase this article.

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