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男孩腹股沟疝和鞘膜积液修补术的阴囊入路

Scrotal approach for inguinal hernia and hydrocele repair in boys.

作者信息

Fearne Ch, Abela M, Aquilina D

机构信息

Consultant Paediatric Surgeon, Paediatric Surgical Unit, Fairyland, St. Luke's Hospital, Gwardamangia, Malta.

出版信息

Eur J Pediatr Surg. 2002 Apr;12(2):116-7. doi: 10.1055/s-2002-30160.

Abstract

PURPOSE

The scrotal approach to repairing inguinal hernias and hydroceles in boys is a relatively new approach, which offers the paediatric surgeon the choice of leaving a more cosmetically acceptable scar. This paper reports the experience of one centre using this approach.

METHODS

195 consecutive repairs in 176 boys were studied. The operative technique is described.

RESULTS

With an average follow-up of 13 months, there was one recurrence. There were no wound infections. Testicular size was equal or larger than the contralateral testicle in all but two cases. All boys had an excellent cosmetic result.

CONCLUSION

The scrotal approach for inguinal hernia or hydrocele repair is a safe procedure without added morbidity and with excellent cosmetic results.

摘要

目的

阴囊入路修复男孩腹股沟疝和鞘膜积液是一种相对较新的方法,可为小儿外科医生提供留下更美观疤痕的选择。本文报告了一个中心使用该方法的经验。

方法

对176名男孩连续进行的195例修复手术进行了研究。描述了手术技术。

结果

平均随访13个月,有1例复发。无伤口感染。除2例病例外,所有病例患侧睾丸大小与对侧睾丸相等或更大。所有男孩的美容效果都非常好。

结论

阴囊入路修复腹股沟疝或鞘膜积液是一种安全的手术,不会增加发病率,且美容效果极佳。

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