Momoh J T
J Natl Med Assoc. 1988 Mar;80(3):317-20.
A new hydrocele eversion technique designed for treating giant hydroceles (fluid content over 3 L) is described. The technique takes advantage of the existence of an avascular, loose areolar plane between the external and internal spermatic fascia within which a subdartos-cremasteric pouch is developed. The hydrocele fluid is drained through a trochar and cannula, and the tunica vaginalis is everted and then quilted with 2/0 chromic catgut. The testis and the quilted tunica are placed in the subdartos-cremasteric pouch and the incision is closed. The quilting of the tunica vaginalis not only prevents reinversion of the sac, but, together with the tight fit of the pouch around the sac, it also reduces the potential space into which postoperative seroma can accumulate.This technique is particularly useful when fibrous adhesions develop between the tunica vaginalis and the subjacent spermatic fascia in giant hydroceles. No drains or external pressure dressing are required, and the technique has been used in 14 giant hydroceles with no complications or recurrence.
本文描述了一种新的用于治疗巨大鞘膜积液（液体含量超过3L）的鞘膜翻转技术。该技术利用了精索外筋膜和精索内筋膜之间无血管、疏松的乳晕平面的存在，在此平面内形成肉膜-提睾肌囊。通过穿刺针和套管排出鞘膜积液，将鞘膜翻转，然后用2-0铬制肠线缝合。将睾丸和缝合的鞘膜置于肉膜-提睾肌囊内，关闭切口。鞘膜的缝合不仅可防止囊袋再次翻转，而且与囊袋对囊的紧密贴合一起，还可减少术后血清肿可能积聚的潜在空间。当巨大鞘膜积液的鞘膜与下方的精索筋膜之间出现纤维粘连时，该技术特别有用。无需放置引流管或进行外部加压包扎，该技术已用于14例巨大鞘膜积液，无并发症或复发。
