Pediatric Surgery Unit, Sapienza University of Rome, AOU Policlinico Umberto I, Viale Regina Elena, 324, 00161, Rome, Italy.
Department of Radiological, Oncological, Pathological Sciences, Sapienza University of Rome, AOU Policlinico Umberto I, 00161, Rome, RM, Italy.
Pediatr Surg Int. 2021 May;37(5):673-676. doi: 10.1007/s00383-021-04865-7. Epub 2021 Mar 2.
Permanent ischemia-induced testicular damage may occur as early as 30 min in prepupertal rats. With the goal of potentially enhancing testicular function and fertility preservation, we performed testis-sparing surgery (TSS) without ischemia for testicular lesions in select children with negative markers and high likelihood of benignity on ultrasonography. Preliminary experience suggests that off-clamp TSS should be more liberally encouraged, especially in infants and prepubertal children, given their particularly vulnerable spermatic cord elements.
在青春期前大鼠中，永久性缺血引起的睾丸损伤最早可能在 30 分钟内发生。为了潜在地增强睾丸功能和保留生育能力，我们对超声检查结果为阴性标志物且极有可能为良性的特定儿童进行了无缺血的保留睾丸手术（TSS）以治疗睾丸病变。初步经验表明，鉴于婴儿和青春期前儿童的精索结构特别脆弱，应更自由地鼓励使用无夹闭 TSS，特别是在婴儿和青春期前儿童中。
