Department of Neurosurgery, Johns Hopkins Medical Institute, Baltimore, MD 21287, USA.
World J Urol. 2013 Aug;31(4):925-8. doi: 10.1007/s00345-012-0890-5. Epub 2012 May 31.
The early evolution of surgical reconstructive techniques has been well documented in the literature. However, a review of the Johns Hopkins hospital surgical files revealed an interesting participant in early hypospadias repair: Harvey Cushing (1869-1939).
Following IRB approval, we reviewed the surgical records from 1896 to 1912 and selected from among his non-neurosurgical patients, one case of first-stage hypospadias repair.
Cushing operated upon the 21-year-old patient, performing a first-stage repair of hypospadias, in conjunction with a repair of a right inguinal hernia. The patient was discharged following a second stage operation. At that time, the patient was in good condition and was voiding appropriately. There was no further follow-up.
The repair of hypospadias evolved through the work of European surgeons, from the mid-eighth century through the early nineteenth century. The case we report here illustrates Cushing's early work in the fields of urologic and plastic surgery.
外科重建技术的早期发展在文献中有详细记载。然而，对约翰霍普金斯医院外科档案的审查揭示了早期尿道下裂修复中的一个有趣参与者：哈维·库欣（1869-1939 年）。
在获得 IRB 批准后，我们查阅了 1896 年至 1912 年的手术记录，并从他的非神经外科患者中选择了一例一期尿道下裂修复病例。
库欣为这位 21 岁的患者进行了一期尿道下裂修复手术，同时还修复了右侧腹股沟疝。患者在第二次手术后出院。当时，患者情况良好，排尿正常。没有进一步的随访。
尿道下裂的修复是通过欧洲外科医生的工作发展起来的，从 8 世纪中叶到 19 世纪初。我们在这里报告的病例说明了库欣在泌尿科和整形外科领域的早期工作。
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