Promm M, Rösch W H
Klinik für Kinderurologie in Kooperation mit der Universität Regensburg, Klinik St. Hedwig, Krankenhaus Barmherzige Brüder Regensburg, Steinmetzstraße 1-3, 93049, Regensburg, Deutschland,
Urologe A. 2014 May;53(5):663-70. doi: 10.1007/s00120-014-3485-5.
Circumcision and orchidopexy are among the most frequently performed pediatric urological procedures. Although they may be classified as surgical interventions suitable for junior surgeons, either procedure can lead to serious consequences including the loss of the respective organ. In this paper, the general aspects of pediatric urological surgery (e.g., distinctive features of informing underage patients, the handling of children in the operating room, and relevant pediatric anesthesiological aspects) are described first. Then, the most important sources of error will be highlighted and potential complications and their management during all stages of the procedure will be illustrated. Apart from the so-called freehand circumcision, this paper also deals with potential complications when using the Plastibell® device. In regard to orchidopexy, laparoscopic procedure shall be discussed in addition to the standard procedure.
包皮环切术和睾丸固定术是儿科泌尿外科最常开展的手术。尽管它们可被归类为适合初级外科医生的外科干预措施,但这两种手术都可能导致严重后果,包括相应器官的缺失。本文首先描述儿科泌尿外科手术的一般方面(例如,告知未成年患者的独特之处、手术室中儿童的处理以及相关的儿科麻醉方面)。然后,将突出最重要的错误来源,并说明手术各阶段的潜在并发症及其处理方法。除了所谓的徒手包皮环切术,本文还将探讨使用Plastibell®装置时的潜在并发症。关于睾丸固定术,除了标准手术外,还将讨论腹腔镜手术。