Al-Khalil N, Panchev P, Tsvetkov M, Mladenov D
Khirurgiia (Sofiia). 2004;60(6):11-2.
Basically no one has ever introduced into practice any better procedure in cases of hydrocele than those of Winkelmann and Bergman. We recommend always a resection of the covering sheets of the testis as a profilactic measure against recurrency. Our study included 192 patients with hydrocele who were operated during the period 2000-2001 in the Clinic of Urology, Medical University of Sofia. The surgical procedures included: Winkelmann's procedure--in 118 cases (61,45%); Bergman's procedure--in 63 cases (32,81%);Orchiectomy--in 3 cases (1.56%) of total testicular atrophy; Combination of hydrocele and co-existing groin hernia was found in 4 cases (2,08%); Orchiectomy--in 1 case (0.52%) of bleeding which lead to hematoma on the 4th postoperative day; Reoperation--in 1 case (0.52%) of compression of the testicular blood vessels (after Winkelmann's procedure); Suppuration of the operative wound-- in 2 cases (1.02%) after Winkelmann's procedures. The authors consider that: 1. Winkelmann's and Bergman's procedures prooved to be quite satifactory as surgical treatment of patients with hydrocele. 2. Diagnosis and surgical treatment are easy to be performed. Postoperative complications are possible in cases of poor surgical technics, damaged local status and shortened time for hemostasis. 3. The well-known method of Lord was not used in our practice, but we do not deny it.
基本上，在鞘膜积液的治疗中，从未有人在实际应用中引入过比温克尔曼（Winkelmann）和伯格曼（Bergman）方法更好的治疗程序。我们建议始终切除睾丸的覆盖层，作为预防复发的措施。我们的研究纳入了192例鞘膜积液患者，他们于2000年至2001年期间在索菲亚医科大学泌尿外科诊所接受了手术。手术程序包括：温克尔曼手术——118例（61.45%）；伯格曼手术——63例（32.81%）；睾丸切除术——在3例（1.56%）完全睾丸萎缩的病例中进行；4例（2.08%）发现鞘膜积液合并腹股沟疝；1例（0.52%）因出血在术后第4天导致血肿而进行睾丸切除术；1例（0.52%）因温克尔曼手术后睾丸血管受压而进行再次手术；2例（1.02%）温克尔曼手术后手术伤口化脓。作者认为：1. 温克尔曼和伯格曼的手术方法被证明是治疗鞘膜积液患者相当令人满意的手术方法。2. 诊断和手术治疗易于实施。手术技术不佳、局部状况受损和止血时间缩短的情况下可能会出现术后并发症。3. 我们在实践中未使用著名的洛德（Lord）方法，但我们并不否认它。
