Testicular torsion reduction fixation

The reduction of testicular or spermatic cord torsion is used for 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: testicular torsion Indication The testicular or spermatic cord torsion reduction procedure is applied to testicular torsion, but clinically diagnosed when the testicle has not been necrotic. Surgical procedure 1. Incision: longitudinal incision of the affected side of the scrotum. 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 period of time, cut off too much sheath, testicles are re-inserted into the scrotum, and the testicles are fixed to the scrotal septum and the meat membrane, the drainage strip is indwelled, and the scrotal incision is sutured.