Müller E
Langenbecks Arch Chir. 1976 Nov 15;342:485-92. doi: 10.1007/BF01267413.
In cases of retentio abdominalis or inguinalis and of ectopic testis, surgery is performed about the 2nd year of life. Essentials of the operating technique are: incision of the skin must not be parallel to the spermatic cord; testes and spermatic cord must be mobilized without trauma; ideally a biopsy of the testis should be taken; any pulling of the spermatic cord and torsion of it during fixation of the testis should be avoided. If initial tensionfree placement of the testis in the scrotum is impossible, the operation should be carried out in 2 sessions with an interval of 6-12 months. In 241 cases of children operated on from 1972-1975 with 308 total operations, the author observed 2 recurrences and 1 deep infection (scrotal abscess).
对于腹内或腹股沟隐睾及异位睾丸病例,手术一般在患儿2岁左右进行。手术技巧要点如下:皮肤切口不得与精索平行;必须在无创伤的情况下游离睾丸和精索;理想情况下应取睾丸活检;在固定睾丸过程中应避免牵拉精索及其扭转。如果最初无法将睾丸无张力地置于阴囊内,则应分两期进行手术,间隔6至12个月。在1972年至1975年接受手术的241例患儿共进行了308次手术中,作者观察到2例复发和1例深部感染(阴囊脓肿)。