This Transscrotal Hydrocelectomy will teach you:
- To resect the hydrocele sac.
Special attention is paid to the following hazards you may encounter during the Transscrotal Hydrocelectomy:
- Scrotal skin vessel hemorrhage
- Testis injury during tunica vaginalis incision
- Testicular ischemia
- Torsio testis
With the following tips you might perform the Transscrotal Hydrocelectomy even better:
- Scrotal skin incision location
- Scrotal skin incision length
- Spermatic fascia dissection
- Vessel ligation for dissection
- Hydrocele sac puncture management
- Hydrocele sac preservation
- Testis location determination
- Tunica vaginalis incision length
- Winkelmann’s technique
- Tunica vaginalis surplus management
- Lord’s technique
- Drain placement
- Hematoma prevention
After studying this Transscrotal Hydrocelectomy course you are familiar with the most common complications:
- Scrotal hematoma and hemorrhage
- Testicular torsion and ischemia
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Step by step
Hydrocele sac isolation
Incise the skin of the scrotum over the raphe of scrotum for approximately 3 centimeters. If done correctly, the dartos muscle should be visible.
Scrotal skin vessel hemorrhage
Care must be taken to avoid incising any vessels running through the scrotal skin as much as possible to minimize the risk of hemorrhage. A transverse incision should be considered to carry less risk of injuring the skin vessels than a longitudinal incision.
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