Eltayeb Almoutaz A
Department of Pediatric Surgery, Assiut University Children Hospital, Asyut, Egypt.
Afr J Paediatr Surg. 2014 Apr-Jun;11(2):143-6. doi: 10.4103/0189-6725.132808.
Bianchi and Squire introduced single high trans-scrotal incision for mobilisation of palpable undescended testes to decrease the potential morbidity of the traditional inguinal approach. This incision has not gained widespread acceptance and there is still a considerable debate about its efficacy. This study evaluated the outcome of high single scrotal incision in comparison to the classic inguinal exploration for unilateral palpable testes regardless to its pre-operative location to assure its validity and safety.
This was a randomised controlled study conducted on seventy males with palpable unilateral undescended testicles from November 2009 to October 2013. They were divided into two equal groups; group I had high single scrotal incision and group II had the classic inguinal approach. The comparative parameters between both groups were the operative time, intra-and post-operative complications, post-operative pain and scar.
There was statistical significant difference between both groups regarding the operative time (P < 0.001). The high scrotal approach (Group I) was not completed in three cases and were converted to the classic inguinal approach. No statistical significant difference between both groups regarding the post-operative complications.
Single high scrotal incision orchidopexy for palpable undescended testis is safe, has shorter operative time but may not be suitable for proximally lying testis.
比安奇和斯奎尔引入了单一高位阴囊切口来游离可触及的隐睾，以降低传统腹股沟手术方式的潜在发病率。这种切口尚未得到广泛认可，关于其疗效仍存在相当大的争议。本研究评估了单一高位阴囊切口与经典腹股沟探查术在治疗单侧可触及睾丸方面的效果，无论其术前位置如何，以确保其有效性和安全性。
这是一项随机对照研究，于2009年11月至2013年10月对70例单侧可触及隐睾的男性患者进行。他们被分为两组，每组人数相等；第一组采用单一高位阴囊切口，第二组采用经典腹股沟手术方式。两组之间的比较参数包括手术时间、术中及术后并发症、术后疼痛和瘢痕。
两组在手术时间方面存在统计学显著差异（P < 0.001）。有3例采用高位阴囊手术方式（第一组）的患者手术未完成，转为经典腹股沟手术方式。两组在术后并发症方面无统计学显著差异。
对于可触及的隐睾，单一高位阴囊切口睾丸固定术是安全的，手术时间较短，但可能不适用于位置较高的睾丸。
