摘要
Abstract
Objective To explore the causes,protective measures and surgical treatments of the cryptorchidism after groin exploration. Methods A total of 13 children suffered cryptorchidism following groin exploration from June 2006 to March 2011. Eight of these cases occurred following previous orchidopexy, 4 following inguinal hernia repair, and 1 following hydrocele repair. These patients subsequently required orchidopexy. Results All testes were placed into scrotum by redo orchidopexy, and the scar adherence was severe during operation. After operation, 12 cases were followed up for 2 months to 4 years. The testes were inside the scrotum. Color Doppler showed that the location and blood flow were normal, and the volume of testis decreased by 5% to 15% in 4 cases, volume stayed the same in 1 case, the volume grown up in 8 cases. Conclusions There are three causes for cryptorchidism following groin exploration. For cryptorchidism accompanied with inguinal hernia or hydrocele, only solve the latter, or during the hernia repair, the testis was raised by misopera-tion, or during precious orchidopexy, the dissociation of spermatic cord was not enough, which cause the recurrence of cryptorchidism. The reoperation of cryptorchidism following groin exploration is necessary. It is important to separate the inguinal scar adherence in reoperation, and the dissociation of post peritoneal spermatic cord is critical in reoperation.关键词
腹股沟/外科学/隐睾/外科学/手术后并发症/治疗结果Key words
Groin/SU /Cryptorchidism/SU/ Postoperative Complications/ Treatment Outcome
