1Dr Muhammad Rahim Bhurgri, 2Ali Raza, 3Mohib Ali, 4Mobeen Ali, 5Umar Khan, 6Hadi Raza, 7Kashif Lodhi
1Assistant Professor, Anatomy Department, Muhammad Medical College Mirpurkhas Sindh Pakistan
2PIMS
3PIMS
4PIMS
5PIMS
6PIMS
7Department of Agricultural, Food and Environmental Sciences. Università Politécnica delle Marche Via Brecce Bianche 10, 60131 Ancona (AN) Italy
Correspondence: Dr Muhammad Rahim Bhurgri, Assistant Professor, Anatomy Department, Muhammad Medical College Mirpurkhas Sindh Pakistan
Abstract
Background: Scrotal hematoma is very common problem following inguinoscrotal surgery, and optimal management strategy remains debated. This retrospective cohort research intended to associate the outcomes of scrotal exploration versus conservative management in postoperative scrotal hematoma cases.
Aim: The goal of the current research was to assess and associate effectiveness of scrotal exploration and conservative management in resolving postoperative scrotal hematoma following inguinoscrotal surgery.
Methods: A retrospective analysis was conducted on the cohort of 100 patients who developed scrotal hematoma after undergoing inguinoscrotal surgery. Fifty patients underwent scrotal exploration, while the remaining fifty received conservative management. Data on patient demographics, hematoma characteristics, surgical procedures, postoperative results, and problems were collected and analyzed.
Results: Among the patients who experienced scrotal exploration, 75% achieved complete resolution of hematoma within two weeks post-surgery. In contrast, only 45% of patients managed conservatively showed complete resolution within the same timeframe. The incidence of complications was higher in scrotal exploration group (30%) associated to conservative management group (15%). However, the need for additional interventions due to unresolved hematoma was suggestively lower in scrotal exploration group (10%) associated to conservative management group (35%).
Conclusion: Scrotal exploration appears to be more effective than conservative management in achieving timely resolution of postoperative scrotal hematoma following inguinoscrotal surgery. Although related to having very huge risk of problems, scrotal exploration reduces need for subsequent interventions and may offer better outcomes in selected cases.
Keywords: scrotal exploration, conservative management, postoperative hematoma, inguinoscrotal surgery, retrospective cohort study.