PDF(Pubmed)
Abstract：
Vasectomy damage is a common complication of open nonmesh hernia repair. This study was a retrospective analysis of the characteristics and possible causes of vas deferens injuries in patients exhibiting unilateral or bilateral vasal obstruction caused by open nonmesh inguinal herniorrhaphy. The site of the obstructed vas deferens was intraoperatively confirmed. Data, surgical methods, and patient outcomes were examined. The Anderson-Darling test was applied to test for Gaussian distribution of data. Fisher\'s exact test or Mann-Whitney U test and unpaired t-test were used for statistical analyses. The mean age at operation was 7.23 (standard deviation [s.d.]: 2.09) years and the mean obstructive interval was 17.72 (s.d.: 2.73) years. Crossed (n = 1) and inguinal ( n = 42) vasovasostomies were performed. The overall patency rate was 85.3% (29/34). Among the 43 enrolled patients (mean age: 24.95 [s.d.: 2.20] years), 73 sides of their inguinal regions were explored. The disconnected end of the vas deferens was found in the internal ring on 54 sides (74.0%), was found in the inguinal canal on 16 sides (21.9%), and was found in the pelvic cavity on 3 sides (4.1%). Location of the vas deferens injury did not significantly differ according to age at the time of hernia surgery ( ≥ 12 years or <12 years) or obstructive interval (≥15 years or <15 years). These results underscore that high ligation of the hernial sac warrants extra caution by surgeons during open nonmesh inguinal herniorrhaphy.
摘要：
输精管切除术损伤是开放式无网片疝修补术的常见并发症。这项研究是对由开放式非网状腹股沟疝修补术引起的单侧或双侧血管阻塞患者的输精管损伤的特征和可能原因的回顾性分析。术中确认输精管阻塞的部位。数据,手术方法,并检查患者的预后。采用Anderson-Darling检验对数据的高斯分布进行检验。采用Fisher精确检验或Mann-WhitneyU检验和非配对t检验进行统计分析。手术时的平均年龄为7.23（标准差[s.d.]：2.09）岁，平均阻塞间隔为17.72（s.d.：2.73）岁。进行交叉（n=1）和腹股沟（n=42）血管造口术。总体通畅率为85.3%(29/34)。在43名患者中（平均年龄：24.95[s.d.：2.20]岁），探索了其腹股沟区域的73侧。在54侧的内环中发现输精管的断开端（74.0％），在16侧腹股沟管中发现（21.9％），并在3侧（4.1％）的盆腔中发现。根据疝气手术时的年龄（≥12年或<12年）或阻塞间隔（≥15年或<15年），输精管损伤的位置没有显着差异。这些结果强调，在开放式非网状腹股沟疝修补术中，疝囊的高度结扎术值得外科医生格外小心。
