Li Chunhua,Shen Qin.Efficacy of modified Bevan surgery for high cryptorchidism with oblique inguinal hernia in children[J].Journal of Clinical Pediatric Surgery,2025,(04):381-385.[doi:10.3760/cma.j.cn101785-202307057-015]
Efficacy of modified Bevan surgery for high cryptorchidism with oblique inguinal hernia in children
- Keywords:
- Cryptorchidism; Hernia; Inguinal; Orchiopexy; Treatment Outcome; Postoperative Complications; Child
- Abstract:
- Objective To observe the efficacy and complications of modified Bevan surgery for high cryptorchidism with oblique inguinal hernia in children and examine the impact on serum stress parameters.Methods From July 2018 to February 2021,retrospective analysis was performed for 85 children with high cryptorchidism complicated with oblique inguinal hernia.According to surgical approaches,45 cases undergoing modified Bevan surgery were classified as group A while another 40 cases undergoing Saha-jeap surgery as group B.Perioperative parameters of operative duration,intraoperative volume of blood loss,postoperative anal exhaust time,postoperative hospitalization stay,serum levels of cortisol (Cor) and prostaglandin E2 (PGE2) at 24h post-operation,complications,recurrence and appearance satisfaction during 6-12 months of post-operative follow-ups were compared between two groups.Results All surgical procedures were successfully completed with testicle traction to scrotal bottom and abundant blood supply.The surgical time,postoperative anal exhaust time and postoperative hospital stay in group A were shorter than those in group B,and the intraoperative blood loss was less than that in group B,and the levels of serum Cor and PGE2 at 24 hours after surgery were lower than those in group B.At 6-12 months of follow-up after surgery,the incidence rate of complications in group A was lower than that in group B (χ2=4.575,P<0.05) while the appearance satisfaction was higher than that in group B (Z=2.23,P<0.05).Conclusions As compared with Saha-jeap surgery,modified Bevan surgery for high cryptorchidism with oblique inguinal hernia in children offers obvious advantages in terms of surgical trauma,complications and postoperative appearance satisfaction.
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Memo
收稿日期:2023-7-27。
通讯作者:申琴,Email:tangal_ing@126.com