Ferzli G S, Kiel T
Department of Laparoendoscopic Surgery, Staten Island University Hospital, 78 Cromwell Avenue, Staten Island, NY 10304, USA.
Surg Endosc. 1997 Mar;11(3):299-302. doi: 10.1007/s004649900350.
The role of endoscopic extraperitoneal herniorrhaphy (EEPH) in the management of giant scrotal hernias has not been well defined, and the technical details relating to operations on such hernias have not been described. We present our experience with 17 patients undergoing repair of giant scrotal hernias. Foley catheter bladder decompression was routinely employed. The Retzius space was developed early in the procedure and hernia sac contents were reduced in all cases. The inferior epigastric vessels were likewise divided in all patients. The average operative time was 76 min and all patients were discharged home the same day. There have been no recurrences on follow-up. There was no mortality, and morbidity was limited to seroma formation in two patients. We conclude that with certain technical modifications, EEPH can be safely employed for the treatment of giant scrotal hernias.
内镜下腹膜外疝修补术（EEPH）在巨大阴囊疝治疗中的作用尚未明确界定，且此类疝手术的技术细节也未被描述。我们介绍了17例接受巨大阴囊疝修补术患者的经验。常规采用Foley导尿管进行膀胱减压。在手术早期分离Retzius间隙，所有病例均还纳疝囊内容物。所有患者均同样结扎了腹壁下血管。平均手术时间为76分钟，所有患者均于当日出院。随访期间无复发。无死亡病例，并发症仅限于2例患者出现血清肿。我们得出结论，通过某些技术改进，EEPH可安全用于治疗巨大阴囊疝。
