Filariasis surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]

Overview

Medical therapy is the first-line treatment option for patients with filariasis. Surgery is usually reserved for patients with chronic lymphedema with failure of medical treatment and worsened presentation such as lymphatic venous anastomoses. Hydrocelectomy can also be performed for intractable cases of hydrocele.

Surgery

• Lymphatic-venous anastomoses may improve lymphatic drainage.
• Hydrocele:
  • The role of surgery depends upon the individual anatomy and local surgical expertise.
  • Drainage of hydrocele may relieve the symptoms but is a temporary solution. Hydrocelectomies are also preformed  (small incision in the scrotum or groin close to the scrotum and draining of the fluid via suction)