Morecroft J A, Stringer M D, Higgins M, Holmes S J, Capps S N
Department of Paediatric Surgery, Queen Mary's Hospital for Children, Carshalton, Surrey, UK.
Br J Surg. 1993 Dec;80(12):1613-4. doi: 10.1002/bjs.1800801242.
A retrospective review of 556 boys who had undergone inguinal herniotomy or surgery for hydrocele was carried out to assess the value of early routine postoperative follow-up. Of 386 children given an appointment, 319 (82.6 per cent) attended. The testis was no longer palpable in the normal scrotal position in 12 boys; eight were normal on further review and four required orchidopexy. Six hydroceles, all of which resolved, and four contralateral hernias were detected. Nineteen boys (4.9 per cent) were referred later with recurrent hernia (two patients), ipsilateral high testis (two), or contralateral hernia or hydrocele (15). Of 170 children not given a routine appointment, ten (5.9 per cent) were subsequently referred back with a transient hydrocele (two) or a contralateral hernia (eight). After a total of 440 appointments, eight boys (1.8 per cent) were found to have a significant abnormality. The rate of referral back to hospital was similar in both groups. Early discharge would make more efficient use of outpatient resources without significantly affecting overall outcome.
对556例接受腹股沟疝修补术或鞘膜积液手术的男孩进行了回顾性研究，以评估术后早期常规随访的价值。在预约的386名儿童中，319名（82.6%）前来就诊。12名男孩的睾丸在正常阴囊位置无法触及；进一步检查后，8名正常，4名需要进行睾丸固定术。发现6例鞘膜积液，均已消退，以及4例对侧疝。19名男孩（4.9%）后来因复发性疝（2例）、同侧高位睾丸（2例）或对侧疝或鞘膜积液（15例）前来就诊。在未安排常规预约的170名儿童中，10名（5.9%）随后因短暂性鞘膜积液（2例）或对侧疝（8例）被召回。在总共440次预约就诊后，发现8名男孩（1.8%）有明显异常。两组的回院转诊率相似。早期出院将更有效地利用门诊资源，而不会显著影响总体结果。
