<prompt> Hydrocele in a child managed by:HerniotomyPlication of sacEversion of sacInversion of sac  <response>: Ans. a HerniotomyRef-.Bailey and Love 26th ed., ch. 79 1382 Congenital hydroceles are treated by herniotomy if they do not resolve spontaneously Lords operation is suitable when the sac is reasonably thin-walled. There is minimal dissection and the risk of haematoma is reduced. Eversion of the sac with placement of the testis in a pouch prepared by dissection in the fascial planes of the scrotum is an alternative Jaboulays procedure Aspiration of the hydrocele fluid is simple, but the fluid always reaccumulates within a week or so. It may be suitable for men who are unfit for scrotal surgery 