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Background testicular torsion is the underlying cause of 15-20% of children presenting to the emergency department with scrotal pain in 15-20%. To prevent organ loss, it is recommended to detortion the testis within the first 6 h. The purpose of the research is to investigate the effect of Tunica Albuginea incision, in addition to detortion on the testis' profitability. In addition, the mean Johnsen Scores were considerably different between the T-DT and TAI groups, and the T-DT and TAI groups were significantly different between the T-DT and TAI groups. Conclusion The results showed that the testicles in the TAI group were better preserved than those in the testicles, in which only DT was used. The DT procedure in testicular torsion can not be relied on to shield the testis, according to experts, and adding TAI to the procedure would be beneficial.
Source link: https://europepmc.org/article/MED/36169476
Introduction Doppler ultrasound is the gold standard for testicular torsion diagnosis, but it is difficult to detect spermatic cord twisting and absence of testicular flow. No laboratory markers have been shown to be useful for preoperative TT diagnosis to date. Objective Our aim is to investigate the role of the neutrophil-to-lymphocyte ratio in pediatric TT prediction. Study design The study was conducted in patients with ultrasound suspicion of TT, in whom surgical testicular examination was performed between 2016 and 2020 was done between 2016 and 2020. According to the intraoperative findings, patients were divided into two groups: the TT group, which is defined as spermatic cord twisting on itself around its longitudinal axis at least 360,000b0; and the non-TT group dividing by the time, were divided into two groups: According to the intraoperative results, patients were divided into two groups: the TT group, defined as spermatic cord twisting on itself around its longitudinal axis at least 360°u00b0, Sensitivity and specificity were determined by the region under the curve represented on the receiver operating characteristic curves. Patients in the TT group had a significantly shorter median time after symptoms onset. Laboratory inflammatory tests revealed significant differences in the TT group, including leukocytes, neutrophils, and NLR. NLR reported the highest AUC in ROC curve analysis, considerably higher than all other laboratory and ultrasound measurements. Discussion This is, to the best of our knowledge, the first study to determine the usefulness of NLR in predicting the diagnosis of TT in patients with clinical and ultrasound suspicion. Conclusion NLR should be used as a predictor of pediatric TT in cases of nuclear ultrasound suspicion, which may help to plan emergency surgical care in these patients.
Source link: https://europepmc.org/article/MED/36175289
Introduction The aim of this study was to determine testicular perfusion and vascularization with intraoperative ICG/NIR imaging in a testicular ischemia-reperfusion model and to assess the effects of ICG on testicular tissue. Materials and methods 24 male rats were divided into four groups based on age, education, and methods. Testicular tissue was not affected by ICG's non-histologically adverse effect on testicular tissue. There was no testicular perfusion in the torsion group, but after detorsion, perfusion began. Testicles had no histologically negative effect of ICG on testicles. The ICG/NIR imaging system seems to be a safe way to testicular torsion management and may help the surgeon assist in the intraoperative management of testicular torsion. Perfusion continued in testicles that had begun to be perfused after detorsion, but blood pressure kept going at the 4th hour of reperfusion. During reperfusion, testicle tests that demonstrate ICG fluorescence remain viable long term, according to our next target.
Source link: https://europepmc.org/article/MED/36087144
Testicular torsion is a critical surgical emergency for children. Patients treated for testicular cancer in the last decade were retrospectively reviewed by the author's method. In 1996, Doppler ultrasonography was performed in 96 patients with false-negative results in 26 patients. Testicular atrophy was present in 65 patients, of whom 6 developed subsequent testicular atrophy. Orchiectomy and histologic reevaluation were performed on behalf of four patients, and the specimens were grading revealed a low-grade injury, which indicates a likelihood of reversible injury. In surgery, seventeen patients had normal testicular anatomy. Conclusions Even with a normal flow Doppler ultrasound, surgical exploration is recommended in the case of medical doubt for testicular torsion. After testicular torsion, further research is required to determine the true risk of contralateral autoimmune disease and raise the risk of testicular resorption after testicular torsion.
Source link: https://europepmc.org/article/MED/36063809
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