Hutcheson J C, Cooper C S, Snyder H M
Division of Pediatric Urology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
J Urol. 2000 Nov;164(5):1702-4.
Achieving a scrotally positioned testis with no iatrogenic atrophy is the primary goal of the surgical treatment of cryptorchidism. The success rate is associated with preoperative testicular position and the technique used. Our success rate with inguinal orchiopexy for abdominal testis is higher than those previously published and may be due to our anatomical approach to retroperitoneal dissection. We review the relevant anatomy and discuss the surgical technique of inguinal orchiopexy.
We researched and reviewed the relevant technical and anatomical literature on inguinal orchiopexy, and describe the anatomical approach to orchiopexy in detail.
An understanding of the retroperitoneal fascial layers is the key to understanding surgery of the retroperitoneum. Dividing the internal spermatic fascia is required for the surgeon to separate the processus vaginalis from the vas and vessels.
The average age of children undergoing cryptorchid surgery has decreased dramatically during the last 40 years. In such young patients extensive mobilization of the vas and vessels may be accomplished through a relatively small incision. We believe that our success rate with inguinal orchiopexy for abdominal testis is associated with our anatomical approach to retroperitoneal dissection.
使睾丸降至阴囊且无医源性萎缩是隐睾症手术治疗的主要目标。成功率与术前睾丸位置及所采用的技术有关。我们对腹内睾丸行腹股沟睾丸固定术的成功率高于既往报道，这可能归因于我们对腹膜后解剖的手术入路方式。我们回顾相关解剖结构并讨论腹股沟睾丸固定术的手术技巧。
我们研究并回顾了关于腹股沟睾丸固定术的相关技术和解剖学文献，并详细描述了睾丸固定术的解剖入路。
了解腹膜后筋膜层是理解腹膜后手术的关键。外科医生要将鞘突与输精管及血管分离，就需要切开精索内筋膜。
在过去40年里，接受隐睾手术患儿的平均年龄显著下降。在如此年幼的患者中，通过相对较小的切口即可广泛游离输精管和血管。我们认为，我们对腹内睾丸行腹股沟睾丸固定术的成功率与我们腹膜后解剖的手术入路方式有关。
Zotero 插件