Kajumchodzaev A A
Department of Microvascular Surgery, Center of Surgery, Tashkent, Russia.
Ann Plast Surg. 1993 Aug;31(2):149-50. doi: 10.1097/00000637-199308000-00011.
About 70% of patients with cryptorchidism have a vas deferens that is so short that ideal scrotal positioning of the testis cannot be achieved, even with microvascular lengthening of the testicular vascular pedicle. A new method of microvascular testicular autotransplantation is presented for those patients with short vasa. The technique involves the complete dissection of the vas deferens from the retrovesical space down to the epididymodeferential loop and transposition of the testis into the scrotum in the upside-down position. By this maneuver, extra length is gained equal to the longitudinal dimension of the testis.
约70%的隐睾症患者其输精管过短，即便对睾丸血管蒂进行微血管延长，也无法实现睾丸在阴囊内的理想定位。对于那些输精管短的患者，我们提出了一种微血管睾丸自体移植的新方法。该技术包括将输精管从膀胱后间隙完全解剖至附睾输精管袢，并将睾丸倒置后移入阴囊。通过这一操作，可获得等同于睾丸纵径的额外长度。
