Chinese Journal of Modern Operative Surgery 2017, Vol. 21 Issue (1): 62-64 DOI: 10.16260/j.cnki.1009-2188.2017.01.016 |
Clinical Research |
|
|
|
|
|
High Ligation of Vaginal Process for Pediatric Hydrocele by Small Transverse Incision via Superficial Ring |
SHU Xianghui
|
Department of Urology, Chengdu Tianfu New District People's Hospital, Chengdu 610213, Sichuan, China |
|
|
Abstract ObjectiveTo explore the surgical therapy and effect of high ligation of vaginal process by small transverse incision via superficial ring for the treatment of vaginal hydrocele in child.MethodsThe clinical data of 80 children with hydrocele performed high ligation of vaginal process through small transverse incision via superficial ring were analyzed retrospectively. The children aged from 1 to 9 years with an average of 3.8. The lesion located in right lateral in 45 cases and left in 35 cases. Among them, communicating hydrocele testis was 66 cases, funicular hydrocele was 10 cases, testicular hydrocele was 3 cases and recurrence of hydrocele was 1 case. ResultsAll 80 children cured after the surgery. The operation time was 10 to 25 minutes with an average of 15 minutes, and the blood loss volume was 0.5 to 2 ml with an average of 1.5 ml. The time discharged from hospital was 1 to 3 days with an average of 1.5 days.No serious complications such as injury of deferent duct and spermatic cord vessel, iatrogenic testis retraction and testis atrophy were found. No one was found recurrence during 6 months to 1 year followup.ConclusionThe high ligation of vaginal process by small transverse incision via superficial ring is an effective surgery for pediatric hydrocele with minitrauma, fast recovery and less complication.
|
Published: 25 May 2018
|
|
|
|
1] |
Naji H, Ingolfsson I, Isacson D, et al. Decision making in the management of hydroceles in infants and children[J]. Eur J Pediatr, 2012, 171(5):807810. doi: 10.1007/s004310111628x. Epub 2011 Nov 22.
|
[2] |
段启新, 吴天鹏, 易小春, 等. 小儿鞘膜积液的循证治疗[J]. 武汉大学学报(医学版),2013,34(4):618621.
|
[3] |
Rioja J, SánchezMargallo FM, Usón J, et al. Adult hydrocele and spermatocele[J]. BJU Int, 2011, 107(11):18521864. doi: 10.1111/j.1464410X.2011.10353.x.
|
[4] |
蒋汉城, 谭达丛, 诸葛冬桂, 等. 一孔法腹腔镜内环口结扎术治疗小儿腹股沟疝及鞘膜积液[J]. 微创医学,2010,5(2):144145.
|
[5] |
唐应明, 易亮, 占雄, 等. 小切口治疗小儿鞘膜积液500例[J]. 临床小儿外科杂志,2012,11(2):152154.
|
[6] |
石群峰, 冯继锋. 腹腔镜内环口缝扎术治疗小儿鞘膜积液[J]. 腹腔镜外科杂志,2012,17(6):460463.
|
[7] |
费江, 宫济春. 经下腹部微小切口治疗小儿腹股沟斜疝临床效果观察[J]. 实用医院临床杂志,2011,8(1):9192.
|
|
|
|