Surgical management of morbidity due to lymphatic filariasis: the usefulness of a standardized international clinical classification of hydroceles.
Identifieur interne : 004D19 ( Ncbi/Checkpoint ); précédent : 004D18; suivant : 004D20Surgical management of morbidity due to lymphatic filariasis: the usefulness of a standardized international clinical classification of hydroceles.
Auteurs : G P Capuano [Fidji] ; C. CapuanoSource :
- Tropical biomedicine [ 0127-5720 ] ; 2012.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Filariose lymphatique, Hydrocèle.
- Adolescent, Adulte, Adulte d'âge moyen, Fidji, Filariose lymphatique, Humains, Hydrocèle, Indice de gravité médicale, Jeune adulte, Mâle.
- Wicri :
- geographic : Fidji.
English descriptors
- KwdEn :
- MESH :
- geographic : Fiji.
- pathology : Elephantiasis, Filarial, Testicular Hydrocele.
- surgery : Elephantiasis, Filarial, Testicular Hydrocele.
- Adolescent, Adult, Humans, Male, Middle Aged, Severity of Illness Index, Young Adult.
Abstract
The objective of this work is to evaluate the usefulness of a standardized clinical classification of hydroceles in lymphatic filariasis endemic countries to guide their surgical management. 64 patients with hydroceles were operated in 2009-2010, in Level II hospitals (WHO classification), during two visits to Fiji, by the same mobile surgical team. The number of hydroceles treated was 83. We developed and evaluated a much needed clinical classification of hydroceles based on four criteria: Type (uni/bilateral); Side (left/right); Stage of enlargement of the scrotum rated from I to VI; Grade of burial of the penis rated from 0 to 4. It lead to the conclusion that 1) A Stage I or II hydrocele, associated with Grade 0 or 1 penis burial could be considered a "Simple Hydrocele". The surgical treatment is simple with no anticipated early complication. WHO Level II of health care structure seems adapted. 2) A Stage III or IV hydrocele associated with Grade 2, 3 or 4 penis burial could be considered a "Complicated Hydrocele". The operation is longer, more complicated and the possibility of occurrence of complications seems greater. A level III health care facility would be more adapted under the normal functioning of the health system. We conclude that a standardized clinical classification of hydroceles based on the Stage of enlargement of the scrotum and the Grade of burial of the penis appears to be a useful tool to guide the decision about the level of care and the surgical technique required. We use the same classification for penoscrotal lymphoedema. A decision tree is presented for the management of hydroceles in lymphatic filariasis endemic countries which could usefully complement the "Algorithm for management of scrotal swelling" proposed by WHO in 2002. An international classification system of hydroceles would also allow standardization and facilitate study design and comparisons of their results.
PubMed: 22543600
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 002147
- to stream PubMed, to step Curation: 002147
- to stream PubMed, to step Checkpoint: 002147
- to stream Ncbi, to step Merge: 004D19
- to stream Ncbi, to step Curation: 004D19
Links to Exploration step
pubmed:22543600Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Surgical management of morbidity due to lymphatic filariasis: the usefulness of a standardized international clinical classification of hydroceles.</title>
<author><name sortKey="Capuano, G P" sort="Capuano, G P" uniqKey="Capuano G" first="G P" last="Capuano">G P Capuano</name>
<affiliation wicri:level="1"><nlm:affiliation>Ministry of Health, 88 Amy street, PO Box 2223, Government Buildings, Suva, Fiji. capuanop@gmail.com</nlm:affiliation>
<country xml:lang="fr">Fidji</country>
<wicri:regionArea>Ministry of Health, 88 Amy street, PO Box 2223, Government Buildings, Suva</wicri:regionArea>
<wicri:noRegion>Suva</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Capuano, C" sort="Capuano, C" uniqKey="Capuano C" first="C" last="Capuano">C. Capuano</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2012">2012</date>
<idno type="RBID">pubmed:22543600</idno>
<idno type="pmid">22543600</idno>
<idno type="wicri:Area/PubMed/Corpus">002147</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002147</idno>
<idno type="wicri:Area/PubMed/Curation">002147</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002147</idno>
<idno type="wicri:Area/PubMed/Checkpoint">002147</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002147</idno>
<idno type="wicri:Area/Ncbi/Merge">004D19</idno>
<idno type="wicri:Area/Ncbi/Curation">004D19</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">004D19</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Surgical management of morbidity due to lymphatic filariasis: the usefulness of a standardized international clinical classification of hydroceles.</title>
<author><name sortKey="Capuano, G P" sort="Capuano, G P" uniqKey="Capuano G" first="G P" last="Capuano">G P Capuano</name>
<affiliation wicri:level="1"><nlm:affiliation>Ministry of Health, 88 Amy street, PO Box 2223, Government Buildings, Suva, Fiji. capuanop@gmail.com</nlm:affiliation>
<country xml:lang="fr">Fidji</country>
<wicri:regionArea>Ministry of Health, 88 Amy street, PO Box 2223, Government Buildings, Suva</wicri:regionArea>
<wicri:noRegion>Suva</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Capuano, C" sort="Capuano, C" uniqKey="Capuano C" first="C" last="Capuano">C. Capuano</name>
</author>
</analytic>
<series><title level="j">Tropical biomedicine</title>
<idno type="ISSN">0127-5720</idno>
<imprint><date when="2012" type="published">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Elephantiasis, Filarial (pathology)</term>
<term>Elephantiasis, Filarial (surgery)</term>
<term>Fiji</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Severity of Illness Index</term>
<term>Testicular Hydrocele (pathology)</term>
<term>Testicular Hydrocele (surgery)</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Fidji</term>
<term>Filariose lymphatique ()</term>
<term>Filariose lymphatique (anatomopathologie)</term>
<term>Humains</term>
<term>Hydrocèle ()</term>
<term>Hydrocèle (anatomopathologie)</term>
<term>Indice de gravité médicale</term>
<term>Jeune adulte</term>
<term>Mâle</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Fiji</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Filariose lymphatique</term>
<term>Hydrocèle</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Elephantiasis, Filarial</term>
<term>Testicular Hydrocele</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Elephantiasis, Filarial</term>
<term>Testicular Hydrocele</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Severity of Illness Index</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Fidji</term>
<term>Filariose lymphatique</term>
<term>Humains</term>
<term>Hydrocèle</term>
<term>Indice de gravité médicale</term>
<term>Jeune adulte</term>
<term>Mâle</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Fidji</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">The objective of this work is to evaluate the usefulness of a standardized clinical classification of hydroceles in lymphatic filariasis endemic countries to guide their surgical management. 64 patients with hydroceles were operated in 2009-2010, in Level II hospitals (WHO classification), during two visits to Fiji, by the same mobile surgical team. The number of hydroceles treated was 83. We developed and evaluated a much needed clinical classification of hydroceles based on four criteria: Type (uni/bilateral); Side (left/right); Stage of enlargement of the scrotum rated from I to VI; Grade of burial of the penis rated from 0 to 4. It lead to the conclusion that 1) A Stage I or II hydrocele, associated with Grade 0 or 1 penis burial could be considered a "Simple Hydrocele". The surgical treatment is simple with no anticipated early complication. WHO Level II of health care structure seems adapted. 2) A Stage III or IV hydrocele associated with Grade 2, 3 or 4 penis burial could be considered a "Complicated Hydrocele". The operation is longer, more complicated and the possibility of occurrence of complications seems greater. A level III health care facility would be more adapted under the normal functioning of the health system. We conclude that a standardized clinical classification of hydroceles based on the Stage of enlargement of the scrotum and the Grade of burial of the penis appears to be a useful tool to guide the decision about the level of care and the surgical technique required. We use the same classification for penoscrotal lymphoedema. A decision tree is presented for the management of hydroceles in lymphatic filariasis endemic countries which could usefully complement the "Algorithm for management of scrotal swelling" proposed by WHO in 2002. An international classification system of hydroceles would also allow standardization and facilitate study design and comparisons of their results.</div>
</front>
</TEI>
<affiliations><list><country><li>Fidji</li>
</country>
</list>
<tree><noCountry><name sortKey="Capuano, C" sort="Capuano, C" uniqKey="Capuano C" first="C" last="Capuano">C. Capuano</name>
</noCountry>
<country name="Fidji"><noRegion><name sortKey="Capuano, G P" sort="Capuano, G P" uniqKey="Capuano G" first="G P" last="Capuano">G P Capuano</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Ncbi/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 004D19 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Checkpoint/biblio.hfd -nk 004D19 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= LymphedemaV1 |flux= Ncbi |étape= Checkpoint |type= RBID |clé= pubmed:22543600 |texte= Surgical management of morbidity due to lymphatic filariasis: the usefulness of a standardized international clinical classification of hydroceles. }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Checkpoint/RBID.i -Sk "pubmed:22543600" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Checkpoint/biblio.hfd \ | NlmPubMed2Wicri -a LymphedemaV1
![]() | This area was generated with Dilib version V0.6.31. | ![]() |