UNIVERSAL SURGICAL NADMOSHONOCHNY ACCESS FOR SURGICAL TREATMENT OF PATHOLOGY IN YA scrotum Kravtsov

摘要

Universal Surgical nadmoshonochny access for surgical treatment of scrotal pathology Yu.A.Kravtsovu comprising a vertical section on the scrotum length of 4 cm, the separation of the tunica vaginalis fleshy, forming pockets corresponding to the size of egg, skin fixation, subcutaneous tissue and fleshy shell casing one to the vaginal layer wound on the perimeter of wound closure nodal catgut sutures, characterized in that, for the purpose of simultaneous operative intervention at the proximal testis and spermatic cord, of especheniya possible overlay cosmetically beneficial types of closure of surgical wounds, operative access to the testis and spermatic cord is performed by cutting through the skin of the abdomen in the region nadmoshonochnoy parallel crease at the boundary of the skin of the scrotum and abdomen, departing from the scrotal skin at 0.5 cm to the side of lesion testis and retreating from the base of the penis to 0.5-1cm, depending on age; where in the case hydrocele cut length corresponds to the diameter of the eggs, and varicocele cut length of 2 cm, and the inguinal canal is not opened, the outer (surface) inguinal ring remain intact after mobilization of the spermatic cord and ligation vaginal process or ligation vein at varicocele, testicular membranes by eversion when Winckelmann hydrocele, scrotal subcutaneously, between the shell and the fleshy subcutaneous layer formed shallow "pocket" for testis where easily reduce a last; cavity for eggs formed in a layer between the shell and the fleshy subcutaneous fascia, when the execution of the main stage of operation subcutaneous F