Surgical methods for spermatic cord syringomyelia and hernia are different. For syringomyelia, partial syringomyelia excision and laparoscopic high ligation of syringomyelia are commonly used, while for hernia, which is mainly extra-abdominal hernia, traditional hernia repair and trans-laparoscopic hernia repair are commonly used.
1. Partial sheath excision: usually make an incision in the groin of the affected side, complete stripping of the spermatic cord sheath effusion and excision of most of the sheath membrane. Surgical technique is mature and not easy to recur. However, the operation is very traumatic and can only deal with spermatic cord syringomyelia on one side.
2. Laparoscopic high sheath ligation: usually 2~3 small incisions are made in the abdomen, and under direct vision, whether the inner ring is loose or not, and the high sheath ligation is feasible. The surgery is less invasive, less painful, and can treat both spermatic cord syringomyelia at the same time.
3. Traditional hernia repair: suitable for emergency surgery, mainly high hernia sac ligation, strengthening or repairing the inguinal canal wall. However, there is postoperative pain at the surgical site, etc., and the recurrence rate is high.
4. Translaparoscopic hernia repair: small trauma, mild pain, fast recovery, no local pulling sensation, etc., but the cost of surgery is higher than that of open surgery, and it is often necessary to complete the surgery under general anesthesia.
Spermatic sheath effusion and hernia surgery is not the same, specific can consult the relevant professional doctor.