Abstract:

Objective To compare the efficacy of testicular repositioning and fixation combined with decompression of the testicular fascial compartment （testicular leucotomy + sheath flap repair） versus conventional testicular repositioning and fixation in surgery for testicular torsion in children. Methods Fifty-six patients with testicular torsion admitted to Hebei Provincial Children's Hospital from January 2019 to October 2023 were selected and divided into the observation group （26 cases） and the control group （30 cases）， and the observation group was treated with testicular reorientation and fixation + testicular fascial compartment decompression， while the control group was treated with conventional testicular reorientation and fixation. There was no statistically significant difference in the age and left and right sides of the patients in the two groups （P > 0.05）. The intraoperative bleeding， postoperative testicular atrophy， the presence of postoperative scrotal infection and postoperative hospitalization time of the two groups were compared. Results All patients successfully completed the operation without intraoperative complications. There was no statistically significant difference between the observation group and the control group in terms of intraoperative bleeding， postoperative scrotal infection rate and postoperative hospitalization time （P > 0.05）； the postoperative testicular atrophy rate of the observation group was significantly lower than that of the control group （P < 0.05）. Conclusions Testicular restoration and fixation + testicular fascial compartment decompression can effectively reduce the pressure of testicular fascial compartment， reduce the ischemia-reperfusion injury of testis， and reduce the occurrence of testicular atrophy， which is safe and effective in the treatment of testicular torsion in children.

Key words: testicular torsion, testicular fascial compartment syndrome, testicular compartment decompression, children