scholarly journals Bilateral perinatal testicular torsion: successful salvage supports emergency surgery

2016 ◽  
pp. bcr2016216020 ◽  
Author(s):  
Jeremy Granger ◽  
Ewan M Brownlee ◽  
Thomas P Cundy ◽  
Day Way Goh
2021 ◽  
Author(s):  
Masahiro Arai ◽  
Yohei Okada ◽  
Hideki Takeshita ◽  
Kojiro Tachibana ◽  
Makoto Kagawa ◽  
...  

2018 ◽  
Vol 8 (1) ◽  
pp. 34-39 ◽  
Author(s):  
Igor S Shormanov ◽  
Dmitriy N Shchedrov

Aim of study. To evaluate the effectiveness of closed manual detorsion in case of testicular torsion in children of different age groups. Materials and methods. Manual detorsion was carried out according to the classical technique (Yudin Ya.B. et al., 1987) by 79 patients with a testicular torsion at the age from the neonatal period to 18 years. A comparative analysis of the effectiveness of detorsion depending on various factors (the age of the patient, the duration of ischemia, the presence of a secondary hydrocele) was performed. Results. The effectiveness of the detorsion depended on the duration of the ischemia period before manipulation in patients of all ages. The effectiveness of the detorsion is more pronounced in adolescents, which is due to the more advanced structures of the spermatic cord and the larger testicle mass. A hydrocele of a secondary nature is a factor complicating detorsion, but its puncture emptying increases the efficiency of manipulation. Conclusions. The effectiveness of manual detorsion is directly proportional to the age of the patient and inversely proportional to the duration of ischemia before the manipulation is performed. The frequency of residual torsion does not allow us to consider the method as independent in the treatment of testicular torsion, and ultrasound and ultrasound dopplerography are completely reliable evaluation criteria. The effectiveness of the method allows you to recommend it in the first day of the disease in patients of all age groups, except for newborns, but emergency surgery should be performed as soon as possible after the detorsion. Carrying out a discharge puncture in patients with a secondary hydrocele against a background of testicular vesicle significantly improves the effectiveness of manual detorsion. (For citation: Shormanov IS, Shchedrov DN. Closed manual detorsion in case of a testicular torsion in children. Urologicheskie vedomosti. 2018;8(1):34-39. doi: 10.17816/uroved8134-39).


2017 ◽  
Vol 23 (2) ◽  
Author(s):  
A. Salokha ◽  
M. Zeliak ◽  
O. Fofanov ◽  
B. Zinyak ◽  
B. Babyak ◽  
...  

The objective of the research was to analyze personal experience and world literature on the diagnosis and treatment of boys with testicular torsion and to improve the process of providing specialized care.Materials and methods. The study included 141 boys with testicular torsion. 133 patients underwent emergency surgery, 8 patients underwent manual detorsion.Results. Treatment was successful in 88 patients; in 53 cases, orchiectomy was performed.Conclusion. Personal observations and the analysis of the literature on testicular torsion in boys indicate the need for early diagnosis and immediate surgery.


2006 ◽  
Vol 40 (10) ◽  
pp. 42 ◽  
Author(s):  
MARY ELLEN SCHNEIDER
Keyword(s):  

2010 ◽  
Vol 3 (9) ◽  
pp. 10
Author(s):  
DIANA MAHONEY

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 117-119
Author(s):  
Munir Ahmad Wani ◽  
Mubarak Ahmad Shan ◽  
Syed Muzamil Andrabi ◽  
Ajaz Ahmad Malik

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119


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