spermatic cord torsion reduction fixation

The spermatic cord reverse reduction and fixation is used for the surgical treatment of testicular torsion. Testicular torsion can occur both in the sheath and outside the sheath. Extra-sheathing can occur before the testicular membrane is fixed to the wall of the scrotum, and thus occurs more frequently during or after the fall of the testicle, so it is only seen in the newborn or before birth. The testicles are usually connected to the wall of the scrotum by a connector behind the epididymis, suspended like a pendulum in the scrotum, so testicular torsion occurs mostly in the sheath and can occur at any age. Other factors that induce testicular torsion include: the slender mesangial membrane separates the testes from the epididymis, and the cremaster muscles tend to twist when contracted. Another 50% of testicular torsion occurs in the cryptorchidism. The long-term efficacy of surgical treatment of testicular torsion depends on the time and extent of torsion, so surgery should be performed early. The manual reset is unreliable because it does not know the direction of the twist. Treatment of diseases: pediatric testicular torsion testicular torsion Indication The spermatic cord reverse reduction and fixation is suitable for testicular torsion, but the clinical diagnosis of testicular has not been necrotic. Preoperative preparation Anesthesia and position: Basic anesthesia plus local infiltration anesthesia, or low epidural anesthesia or general anesthesia. Flat position. Surgical procedure Surgical procedure 1. Incision longitudinal scrotal incision. 2. After cutting the scrotum wall layer by layer, pull the testicle out of the incision, pay attention to the direction of the testicular torsion. Reset the testicles. After testicular reduction, observe the testicular blood supply. If the testicular color cannot be restored after the reset, and the testicle has been necrotic, the orchiectomy should be performed. 3. Testicular fixation If the testicles change color in a short direction in a short period of time, the excess sheath is removed, the testicles are re-inserted into the scrotum, and the testicles are fixed to the scrotal septum and the meat membrane, and the drainage strip is indwelled and the scrotal incision is sutured.

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