Reid I, Devlin H B
Department of Surgery, North Tees General Hospital, Stockton-on-Tees, Cleveland, UK.
Br J Surg. 1994 Jan;81(1):91-3. doi: 10.1002/bjs.1800810132.
Testicular atrophy is an uncommon but well recognized complication of inguinal hernia repair and one that frequently results in litigation. A series of ten cases of testicular atrophy occurring after hernia repair in nine patients is presented. Identifiable risk factors were present in eight instances. Surgeons should make careful enquiries as to previous groin or scrotal surgery and, when indicated, warn the patient before surgery of the increased risk of testicular atrophy. Overzealous dissection of a distal hernia sac, dislocation of the testis from the scrotum into the wound and concomitant scrotal surgery should all be avoided.
睾丸萎缩是腹股沟疝修补术一种罕见但已得到充分认识的并发症，且常引发诉讼。本文报告了9例患者疝修补术后发生的10例睾丸萎缩病例。其中8例存在可识别的危险因素。外科医生应仔细询问患者既往腹股沟或阴囊手术史，并在有指征时，术前告知患者睾丸萎缩风险增加。应避免过度剥离远端疝囊、将睾丸从阴囊脱位至伤口以及同时进行阴囊手术。
