Fig. 8

Schema of hydrocelectomy with the transversalis fascia incision. a Resection of a hydrocele located in the inguinal canal to the subcutaneous space. First, the round ligament of the uterus was transected. Second, the hydrocele with the ligament of the uterus was excised via transversalis fasciotomy. Third, the distal part of the round ligament of the uterus was transected. b Resection of the hydrocele extending from the abdominal cavity to the subcutaneous space (current procedure). First, after transection of the round ligament of the uterus, the hydrocele protruding into the abdominal cavity was resected. Second, the subcutaneous and intrainguinal canal part of the hydrocele was dissected from the transversalis fascia incision. Then, the distal part of the round ligament of the uterus was transected. Third, the distal part of the hydrocele was extracted into the abdominal cavity via the deep inguinal ring passing beside the inferior epigastric vessels