What are the operative procedures of testicular descent fixation

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For men, with the decline of various functions of the body, many parts of the body will be degraded to a certain extent. They should have regular physical examination so that the disease can be controlled. Let's talk about the operation steps of testicular descent fixation.

What are the operative procedures of testicular descent fixation

First, oblique inguinal incision. A skin incision parallel to the inguinal ligament was made from 1-2cm above the midpoint of inguinal ligament to pubic tubercle. The skin and subcutaneous tissue were cut according to the inguinal hernia repair incision, and the external oblique aponeurosis was cut to expose the inguinal canal. Most cryptorchidism is located in the inguinal canal, which can free the spermatic cord and testis together with the tunica vaginalis.

Second: in patients with inguinal hernia, the testicle may be in the abdominal cavity, and the patient can be asked to cough to increase the abdominal pressure, then the testicle can enter the inguinal canal with the hernia sac. For cryptorchidism located in the retroperitoneum, it is necessary to open the inner ring or even extend the incision upward to open the peritoneum and carefully explore the iliac fossa and even the waist. Release the spermatic cord, cut the testicular frenum, cut the tunica vaginalis, check the testis, epididymis and vas deferens, and remove the extra tunica vaginalis. The tunica vaginalis of spermatic cord is completely stripped from the spermatic cord, so that the spermatic cord can be fully dissociated and released until the testis can be pulled below the pubic symphysis.

Third, if the testis can not be pulled below the pubic symphysis, the spermatic cord should be released upward from the inner ring to separate it from the extraperitoneal adipose tissue until the testis can be pulled below the pubic symphysis without tension. If the tunica vaginalis communicates with the abdominal cavity, the tunica vaginalis should be closed by circular suture at the inner ring. Attention should be paid not to damage spermatic vessels and vas deferens. If combined with indirect inguinal hernia, hernia repair should be performed.

matters needing attention

For patients with these diseases, the above steps can be clearly understood, so that they can be treated after surgery.