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成人腹股沟疝修补术后高位隐睾的睾丸固定术:两例报告

Orchidopexy for Ascending Testicles in Adulthood After Remote Hernia Repair: A Report of Two Cases.

作者信息

Wald Moshe

机构信息

Urology, University of Iowa Hospitals and Clinics, Iowa City, USA.

出版信息

Cureus. 2023 Jun 2;15(6):e39885. doi: 10.7759/cureus.39885. eCollection 2023 Jun.

DOI:10.7759/cureus.39885
PMID:37404422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10315181/
Abstract

Testicular ascent to the inguinal region after hernia repair has been previously reported as a rare complication of this surgery in pediatric patients. This article presents two cases of adult patients with ascending testicles after inguinal hernia repair that was performed in childhood. Both men underwent orchidopexy through a combined inguinal and scrotal approach, the latter for the creation of a sub-dartos pouch. In both cases, this intervention was completed successfully without complication and resulted in a satisfactory post-operative position of the testicles in the scrotal sac. This surgical approach appears to be a safe management option for adult men with ascending testicles after inguinal hernia repair.

摘要

睾丸在疝气修补术后升至腹股沟区,此前曾有报道称这是小儿患者该手术罕见的并发症。本文介绍了两例成年患者,他们在儿童时期接受腹股沟疝气修补术后出现睾丸上升。两名男性均通过腹股沟和阴囊联合入路进行了睾丸固定术,后者用于创建肉膜下袋。在这两例病例中,该干预均成功完成,无并发症,且术后睾丸在阴囊内的位置令人满意。对于腹股沟疝气修补术后睾丸上升的成年男性,这种手术方法似乎是一种安全的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe25/10315181/e40e765886ec/cureus-0015-00000039885-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe25/10315181/25d6b11696b6/cureus-0015-00000039885-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe25/10315181/e40e765886ec/cureus-0015-00000039885-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe25/10315181/25d6b11696b6/cureus-0015-00000039885-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe25/10315181/e40e765886ec/cureus-0015-00000039885-i02.jpg

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本文引用的文献

1
Unsatisfactory testicular position after inguinal orchidopexy: Is there a role for upfront laparoscopy?腹股沟睾丸固定术后睾丸位置不理想:前期腹腔镜检查有作用吗?
Arab J Urol. 2019 Nov 24;18(1):48-53. doi: 10.1080/2090598X.2019.1686895. eCollection 2020.
2
Ascending testis after repair of pediatric inguinal hernia and hydrocele: A misunderstood operative complication.小儿腹股沟疝和鞘膜积液修补术后睾丸上升:一种被误解的手术并发症。
J Pediatr Urol. 2017 Feb;13(1):53.e1-53.e5. doi: 10.1016/j.jpurol.2016.08.013. Epub 2016 Sep 28.
3
Ascending testis following inguinal hernia repair in children.
儿童腹股沟疝修补术后睾丸上升
Eur Rev Med Pharmacol Sci. 2015 Aug;19(16):2949-51.
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Operative management of cryptorchidism: guidelines and reality--a 10-year observational analysis of 3587 cases.隐睾症的手术治疗:指南与现实——对3587例病例的10年观察分析
BMC Pediatr. 2015 Sep 10;15:116. doi: 10.1186/s12887-015-0429-1.
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Anatomical and functional aspects of testicular descent and cryptorchidism.睾丸下降及隐睾症的解剖学与功能学方面
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