そけいヘルニア手術後などに行った睾丸固定術

概要

論文の詳細を見る
Orchiopexy was performed to 17 patients with unilateral cryptorchidism who had previously received inguinal or retroperitoneal surgeries. Types and numbers of the initial surgeries were : inguinal herniorrhaphy (5), inguinal herniorrhaphy and orchiopexy (3), inguinal herniorrhaphy and hydrocelectomy (1), orchiopexy (6) and radical operation for anorectal anomalies (2). Of 17 patients, 14 had true cryptorchidism initially, and 3 iatrogenic cryptorchidism resulted following herniorrhapy. The orchiopexy was difficult because of dense adhesions and scars around spermatic cord and testis. Meticulous and timeconsuming surgery was required to mobilize them from the surrounding tissue. Traction of the testis was necessary in 7 patients after orchiopexy. Postoperatively, all of the 17 testes were located in normal scrotal position, but testicular growth was good in 14, fair in 2 and poor in 1 patients. It is mandatory to check testicular position at the completion of herniorrhaphy so that the testis should be positioned well down in the scrotum. If hernia is associated with cryptorchidism, both herniorrhaphy and orchiopexy must be done simultaneously. It is strongly desirable that general surgeon can perform an ordinary orchiopexy.
日本小児外科学会の論文
1984-04-20