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A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
Published on: December 10, 2021
[Testicular torsion: which suture should be used?]
A Cimadevila García1, M Blanco Parra, J Lema Grille
1Servicio de Urología, Facultad de Medicina, Hospital Clínico Universitario, Universidad de Santiago, Santiago de Compostela, A Coruña.
Actas Urologicas Espanolas
|February 18, 2004
Summary
Recurrent testicular torsion occurred four months after initial surgery. Previous bilateral orchiopexy did not hinder diagnosis, highlighting the need for thorough scrotal exploration and nonabsorbable sutures.
Area of Science:
- Urology
- Pediatric Surgery
Background:
- Testicular torsion is a surgical emergency requiring prompt diagnosis and treatment.
- Previous orchiopexy aims to prevent recurrent torsion but does not eliminate the risk entirely.
Observation:
- A case of left testicular torsion presented four months after a prior homolateral torsion and bilateral orchiopexy.
- The initial orchiopexy utilized 3-0 silk with transseptal fixation of the contralateral testicle.
Findings:
- The history of bilateral orchiopexy did not impede the diagnosis of acute testicular torsion.
- Recurrent torsion necessitates careful evaluation of the acute scrotum, irrespective of prior surgical intervention.
Implications:
- Nonabsorbable suture material is recommended for testicular fixation to the dartos muscle in at least three locations.
- Exploration of the contralateral hemiscrotum is crucial in cases of recurrent or suspected testicular torsion, even after bilateral orchiopexy.
