|
|
|
| Laparoscopic Assisted Inguinal Surgery for the Treatment of High Refractory Iatrogenic Cryptorchidism |
| DUAN Yi-xing, GUO Xi, ZHOU Qiang, et al |
| Department of Urology, the People′s Hospital of Hunan province, Changsha 410005, China |
|
|
|
|
Abstract 【Objective】To investigate the clinical effect of laparoscopic assisted inguinal surgery in the treatment of high refractory cryptorchidism.【Methods】From January 2014 to April 2017, 21 children with unilateral high and refractory iatrogenic cryptorchidism were treated with laparoscopic assisted inguinal incision. The patients were followed up for 3 months to 1 year to record the recovery of the affected testis, postoperative complications and the phenomenon of retraction.【Results】All the 21 children underwent the operation successfully, and the operation time was 58～125 (78.6 ±15.3)min. No postoperative complications such as scrotal hematoma, abdominal pain, etc. The patients started eating at 6 hours after operation and was discharged from hospital 3～5 days later. The results of follow up showed that there was no atrophy of testis and normal blood flow in all of them, 9 of them were larger than those before operation, but smaller than those of normal side, all of them were fixed at the bottom of scrotum and had no retraction. There were 5 cases of inguinal incision scar formation due to re-operation. After applied scar and laser treatment of the plastic surgery department, the symptoms basically subsided.【Conclusion】Laparoscopically assisted inguinal surgery with high refractory cryptorchidism is safe and effective in the treatment of testicular blood flow.
|
|
Received: 18 July 2017
|
|
|
|
|
|
[1] Miyake H,Fukumoto K,Yamoto M,et al.Comparison of percutaneous extraperitoneal closure (LPEC) and open repair for pediatric inguinal hernia:experience of a single institution with over 1 000 cases[J].Surg Endosc,2016,30(4):1466-1472.
[2] 赵英敏,李龙,马继东,等.二孔法腹腔镜与开放手术治疗小儿腹股沟疝的比较[J].中国微创外科杂志,2006,8(8):595-596.
[3] Fenig DM.The histopathology of iatrogenic cryptorchid tsetis:an insight into etiology[J].J Urol,2001,165(4):1258-1261.
[4] Abes M.Ascending testis following inguinal hernia repair in children[J].Eur Rev Med Pharmaco,2015;19(16):2949-2951.
[5] 程树林.医源性隐睾的治疗[J].华西医学,2009,24(3):714-715.
[6] 徐万华,杨志林,尹鉴淳,等.有腹股沟区手术史的隐睾患儿诊疗分析[J].临床小儿外科杂志.2012,11(2):103-105.
[7] Karaman I,Karaman A,Erdogan D,et al.The transscrotal approach for recurrent and iatrogenic undescended testes[J].Eur J Pediatr Surg,2010 ,20(4):267-269.
[8] 王果.小儿外科手术难点及对策[M].北京:人民卫生出版社,2006:707-708. |
|
|
|
2018, Vol. 35 
