RU2371110C1 - Method for fixing testicle and spermatic cord in scrotum in cryptorchidism - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention concerns medicine, namely urology, can be used in surgical treatment of cryptorchidism. Scrotum skin is dissected. A testicle bed and spermatic cord is formed that is followed by suturing. Said section is made from base to fundus of scrotum. In the wound angles, central fat is dull separated in testicle size. And at the base, fat is separated to inguinal canal, while at fundus of scrotum to the testicle bed. Then the testicle is brought down to the bed. Dartos muscle is sutured with thereby forming the testicle bed and a canal for spermatic cord. Skin is sutured.

EFFECT: method allows for physiological arranged testicle and spermatic cord, stable fixation of testicle in scrotum with minimum operational trauma, provides the visual control of formation of testicle bed and the canal for spermatic cord.

5 dwg

Description

The invention relates to medicine, namely to methods for surgical treatment of cryptorchidism, and is intended for fixation of the testicle and spermatic cord in the scrotum.

There are various ways of fixing the testis and spermatic cord in the scrotum with cryptorchidism (E.S. Shahbazyan. Cryptorchidism and its treatment. M: Medghiz, 1957).

Closest to the proposed invention is a method of fixation of the testis and spermatic cord according to the method of Petrevalsky-Shemacher (E.S. Shakhbazyan. Cryptorchidism and its treatment. M: Medgiz, 1957, p. 88), where after mobilization of spermatic cord and testicle, formation a canal in the scrotum cuts the skin of the bottom of the scrotum to 2–4 cm long tunica dartos. In a blunt way, tunica dartos separates from the skin, and the testicle bed forms. Tunica dartos is dissected and a testicle is removed through a hole in it in a bed under the skin. The tunica dartos wound is narrowed with two sutures. The skin wound is sutured over the testicle.

The disadvantages of this method is that the testicle is located non-physiologically under the skin, the scrotum and the testicle are carried out without visual inspection, the fixation of the testicle is unstable, which often leads to the displacement of the testicle with the bottom of the scrotum towards the inguinal canal.

The objective of the invention is the physiological location of the testis and spermatic cord, their stable fixation with minimal operating injury.

The result is achieved by making an incision from the base to the bottom of the scrotum through all layers, while in the corners of the wound the central tissue is stupidly diluted by the size of the testicle, and at the base it is bred to the inguinal canal, and at the bottom of the scrotum for the testicle bed, then the testicle is lowered into the bed , impose nodal sutures on the fleshy membrane, forming a testicle bed and a channel for the spermatic cord with this, then suture the skin.

The invention is illustrated by diagrams that show the sequence of the proposed method:

figure 1 - section of the scrotum through all layers;

figure 2 - the formation of the tunnel to the inguinal canal and the bed for the testicle;

figure 3 - the testicle and spermatic cord are placed in the scrotum;

figure 4 - seams on the fleshy membrane, the formation of a bulbous shape of the case for the testis and spermatic cord;

figure 5 - seams on the skin.

On the diagrams of the method are indicated:

scrotum 1, tunnel to the inguinal canal 2, bed 3 of the testis, spermatic cord 4, testicle 5, sutures of the meaty membrane 6, sutures on the skin 7, the resulting case 8 has a bulbous shape in the center of the scrotum 1.

The proposed method is implemented as follows.

The incision, often inguinal, and the mobilization of the testis is carried out according to the generally accepted technique. Then make a linear incision from the base to the bottom of the scrotum 1 through all layers. In the corners of the wound, the central fiber is stupidly diluted for the size of the testicle 5, at the base to the inguinal canal, and at the bottom of the scrotum 1 for the bed 3 testicles. Testicle 5 is laid down in the bed, stitches are layered in layers on the scrotum wound, while in the center of the fleshy membrane a box-shaped case 8 is formed for testicle 5 and spermatic cord 4, sutures on the wound.

Claims (1)

The method of fixation of the testis and spermatic cord in the scrotum during cryptorchidism by cutting the scrotum skin and further forming the testicle and spermatic cord bed with subsequent suturing, characterized in that the incision is made from the base to the bottom of the scrotum through all layers, while in the corners of the wound the central fiber by the size of the testicle, and at the base it is bred to the inguinal canal, and at the bottom of the scrotum for the testicle bed, then the testicle is laid down in the bed, sutures are laid on the fleshy membrane, forming a testicle bed and a channel for the seminal canal teak, and sutures on the skin.

Images