Reale C, Corinti R, Galullo B, Borgonuovo P, Borgonuovo P
Università La Sapienza, Roma, Istituto di Anestesia e Rianimazione.
Arch Ital Urol Androl. 1998 Jun;70(3 Suppl):43-6.
The use of a new technique in spermatic cord block in surgical treatment of large hydroceles is reported. Identification of the cord in these cases is often difficult due to the presence of the hydrocele. The reported technique consists in the percutaneous drainage of the hydrocele prior to the block, in order to allow an easier identification of the cord. The block is then performed by the usual method. 108 patients with large hydroceles (above 250 mls) underwent surgical repair employing this approach. In only one case the cord was not identified even after drainage due to the effects of a previous hernioplasty. In the remaining 107 patients the cord was easily identified and blocked. The excellent results obtained with this approach, show that cord block is possible in all patients, even when a large hydrocele is present.
本文报道了一种精索阻滞新技术在巨大鞘膜积液手术治疗中的应用。由于存在鞘膜积液，在这些病例中识别精索往往很困难。所报道的技术包括在阻滞前经皮引流鞘膜积液，以便更容易识别精索。然后用常规方法进行阻滞。108例巨大鞘膜积液（超过250毫升）患者采用该方法进行手术修复。仅1例患者即使在引流后仍因既往疝修补术的影响而无法识别精索。在其余107例患者中，精索很容易被识别并阻滞。该方法取得的优异结果表明，即使存在巨大鞘膜积液，所有患者都可行精索阻滞。
