Section of Pediatric Urology, Hasbro Children's Hospital, The Warren Alpert Medical School of Brown University, 2 Dudley Street, Suite 185, Providence, RI 02905, USA.
J Pediatr Urol. 2010 Oct;6(5):496-500. doi: 10.1016/j.jpurol.2009.10.017. Epub 2009 Dec 11.
Sir Denis Browne, a surgeon at the Hospital for Sick Children, Great Ormond Street, was the first surgeon to confine his practice solely to pediatric surgery. He made numerous important contributions to the field of pediatric surgery in orthopedics, otolaryngology, plastic surgery and urology, and is thus known as the father of modern British pediatric surgery.
We reviewed the original publications, historical records and medical literature on Denis Browne and his contributions to urology.
Sir Denis Browne used his anatomical studies to elucidate many of the problems he faced. He classified undescended testis into two groups still recognized today: 'normal variations of development (retractile testis) which only need leaving alone' and 'congenital deformities which need operation'. During orchidopexy he stressed cord mobilization rather than testicular fixation and tension on the blood supply. He was also the first to describe the superficial inguinal pouch, which bears his name, as a common site for the undescended testis. He devised a new operation for hypospadias based on the principle that a buried strip of skin will epithelialize the surrounding tissue into a tube. The simplicity of his technique made hypospadias surgery available to the average surgeon. As an inventor, he designed many surgical instruments, including a circular retractor holder, as well as a universal golf club, a circular tennis racquet and a modified bicycle seat.
Sir Denis Browne was an innovator and nonconformist with regard to the traditional teaching and practice of pediatric surgery and urology of his day. His innovations in surgical theory, technique and instrumentation resulted in major contributions to the advancement of urology as well as pediatric surgery.
丹尼斯·布朗爵士是大奥蒙德街儿童医院的外科医生，他是第一位将其行医范围完全局限于小儿外科的外科医生。他在小儿矫形外科、耳鼻喉科、整形外科和泌尿科领域做出了许多重要贡献，因此被称为现代英国小儿外科学之父。
我们回顾了关于丹尼斯·布朗及其对泌尿科贡献的原始出版物、历史记录和医学文献。
丹尼斯·布朗爵士利用他的解剖学研究来阐明他所面临的许多问题。他将隐睾分为两组，至今仍被认可：“正常发育变异（回缩睾丸），只需放任不管”和“先天性畸形，需要手术”。在进行睾丸固定术时，他强调精索的活动度而不是睾丸的固定和血液供应的张力。他也是第一个描述腹股沟浅袋的人，这个部位以他的名字命名，是隐睾的常见部位。他设计了一种新的尿道下裂手术，基于这样的原理：一条埋藏的皮肤带会使周围组织上皮化形成管状。他的技术非常简单，使尿道下裂手术能够为普通外科医生所掌握。作为一位发明家，他设计了许多手术器械，包括圆形牵开器固定器，以及通用高尔夫球杆、圆形网球拍和改良自行车座。
丹尼斯·布朗爵士在当时的小儿外科和泌尿科的传统教学和实践方面是一位创新者和特立独行者。他在外科理论、技术和仪器方面的创新为泌尿科和小儿外科学的发展做出了重大贡献。
