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The interscrotal approach to inguinoscrotal pathologies.

Soualili Z, Achouri D, Haif A, Touabti S, Yahia SA, Benmahmoud M, Choutri H, Nedjar S, Mimoune M, Chouaib S - Arab J Urol (2015)

Bottom Line: We report the use of the interscrotal approach in 21 boys, from September 2012 to November 2013, operated using an interscrotal access through a vertical incision on the median raphe.The approach was used for bilateral inguinal hernia (48%), bilateral ectopic testis (19%), torsion of the spermatic cord (19%), testicular biopsy (10%) and webbing of the penis (5%).Inter-scrotal access is an option for inguinoscrotal pathologies, with the advantages of a single incision, much less dissection and disruption of tissue, and greater comfort for the 'day-case' child.

View Article: PubMed Central - PubMed

Affiliation: University of Farhat Abbas, Institute of Medical Sciences of Setif, Algeria.

ABSTRACT

Objective: To determine the efficiency of the interscrotal approach to inguinoscrotal pathologies.

Patients and methods: We report the use of the interscrotal approach in 21 boys, from September 2012 to November 2013, operated using an interscrotal access through a vertical incision on the median raphe.

Results: The approach was used for bilateral inguinal hernia (48%), bilateral ectopic testis (19%), torsion of the spermatic cord (19%), testicular biopsy (10%) and webbing of the penis (5%).

Conclusion: Inter-scrotal access is an option for inguinoscrotal pathologies, with the advantages of a single incision, much less dissection and disruption of tissue, and greater comfort for the 'day-case' child.

No MeSH data available.


Related in: MedlinePlus

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f0015: Full access to both testicles.

Mentions: A vertical incision (Fig.1) was made on the median raphe of the scrotum [3] (mono- and bipolar scalpel use is not desirable and was not used in this series) [4] and then using a chisel and atraumatic clamp, the incision (Fig.2) was opened and dissected from the intrascrotal tunica up to the high subcutaneous inguinal region. At this level, the fascia of Scarpa is opened and dissected up to the anterior arch of the superficial inguinal ring [5]. At this level, with an ecarteur of Farrabeuf it is lifted upwards [6] and the anterior arch is incised with scissors, which allows entry to the deep inguinal ring (Fig.3). The procedure then continues using the steps of classic surgery.


The interscrotal approach to inguinoscrotal pathologies.

Soualili Z, Achouri D, Haif A, Touabti S, Yahia SA, Benmahmoud M, Choutri H, Nedjar S, Mimoune M, Chouaib S - Arab J Urol (2015)

Full access to both testicles.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4563009&req=5

f0015: Full access to both testicles.
Mentions: A vertical incision (Fig.1) was made on the median raphe of the scrotum [3] (mono- and bipolar scalpel use is not desirable and was not used in this series) [4] and then using a chisel and atraumatic clamp, the incision (Fig.2) was opened and dissected from the intrascrotal tunica up to the high subcutaneous inguinal region. At this level, the fascia of Scarpa is opened and dissected up to the anterior arch of the superficial inguinal ring [5]. At this level, with an ecarteur of Farrabeuf it is lifted upwards [6] and the anterior arch is incised with scissors, which allows entry to the deep inguinal ring (Fig.3). The procedure then continues using the steps of classic surgery.

Bottom Line: We report the use of the interscrotal approach in 21 boys, from September 2012 to November 2013, operated using an interscrotal access through a vertical incision on the median raphe.The approach was used for bilateral inguinal hernia (48%), bilateral ectopic testis (19%), torsion of the spermatic cord (19%), testicular biopsy (10%) and webbing of the penis (5%).Inter-scrotal access is an option for inguinoscrotal pathologies, with the advantages of a single incision, much less dissection and disruption of tissue, and greater comfort for the 'day-case' child.

View Article: PubMed Central - PubMed

Affiliation: University of Farhat Abbas, Institute of Medical Sciences of Setif, Algeria.

ABSTRACT

Objective: To determine the efficiency of the interscrotal approach to inguinoscrotal pathologies.

Patients and methods: We report the use of the interscrotal approach in 21 boys, from September 2012 to November 2013, operated using an interscrotal access through a vertical incision on the median raphe.

Results: The approach was used for bilateral inguinal hernia (48%), bilateral ectopic testis (19%), torsion of the spermatic cord (19%), testicular biopsy (10%) and webbing of the penis (5%).

Conclusion: Inter-scrotal access is an option for inguinoscrotal pathologies, with the advantages of a single incision, much less dissection and disruption of tissue, and greater comfort for the 'day-case' child.

No MeSH data available.


Related in: MedlinePlus