Morse T S, Hollabaugh R S
J Pediatr Surg. 1977 Apr;12(2):237-40. doi: 10.1016/s0022-3468(77)80014-6.
Torsion of the testicle is often due to the "bell-clapper" deformity. This deformity is frequently bilateral. Prevention of future episodes of torsion depends upon the creation of a broad area of dense adhesion between the tunica albuginea and the scrotal wall. The results of this study indicate that this may be best accomplished by creating a window in the tunical vaginalis so that during healing a broad area of the tunica albuginea is held in apposition to a raw surface devoid of tunica vaginalis. Simply suturing the testical to the wall of the hemiscrotum does not always result in permanent fixation.
睾丸扭转通常是由“钟摆样”畸形引起的。这种畸形常常是双侧的。预防未来的扭转发作取决于在白膜和阴囊壁之间形成广泛的致密粘连区域。本研究结果表明，通过在鞘膜上开窗可能是实现这一目的的最佳方法，这样在愈合过程中，白膜的广泛区域就会与没有鞘膜的粗糙表面贴合。仅仅将睾丸缝合到半侧阴囊壁上并不总能实现永久固定。
