Redman J F
Department of Urology, University of Arkansas College of Medicine and Arkansas Children's Hospital, Little Rock, Arkansas, USA.
J Urol. 2000 Nov;164(5):1705-7.
Reoperation of the inguinal canal is difficult with few available lucid descriptions of the technique. We reviewed our experience with a unique surgical approach to the spermatic cord through the cremaster fascia in patients who had undergone previous operations for undescended testis or hernia and report its outcome.
A total of 54 inguinal reoperations were performed in 45 boys with an undescended testis or indirect inguinal hernia using a unique surgical approach through the cremaster fascia.
Of the 54 inguinal canal reoperations surgery was successful in all but 1 patient who sustained a transected vas deferens (1.8% complication rate).
The surgical approach to the inguinal canal through the cremaster fascia is an effective technique for reoperation of the inguinal canal after orchiopexy or hernial repair.
腹股沟管再次手术难度较大，且关于该技术的清晰描述较少。我们回顾了我们对曾接受过隐睾或疝气手术的患者采用通过提睾肌筋膜对精索进行独特手术入路的经验，并报告其结果。
对45例患有隐睾或腹股沟斜疝的男孩共进行了54例腹股沟再次手术，采用通过提睾肌筋膜的独特手术入路。
在54例腹股沟管再次手术中，除1例患者输精管横断外，其余手术均成功（并发症发生率为1.8%）。
通过提睾肌筋膜对腹股沟管进行手术入路是睾丸固定术或疝修补术后腹股沟管再次手术的有效技术。
