POLUEHKTOV VLADIMIR LEONIDOVICH,Полуэктов Владимир Леонидович,MAKUSHIN DMITRIJ GENNADEVICH,Макушин Дмитрий Геннадьевич,POLUEHKTOV VLADIMIR VLADIMIROVICH,Полуэктов Владимир Владимирович
申请号：
RU2014112792/14
公开号：
RU0002568767C2
申请日:
2014.04.01
申请国别(地区):
RU
年份:
2015
代理人:
摘要：
FIELD: medicine.SUBSTANCE: access to scrotum organs is realised with application of endovideosurgical equipment with formation of artificial hydrocele. Scrotum cavity is opened through scrotum 5 mm long access on the border of lower and middle third on anterolateral surface of scrotum with realisation of haemostasis. Trocar and optic instrument are introduced through obtained access. Wound channel around toracar tube is sutured with haemostatic and sealing catgut sutures, ligatures of which are used to fix trocar tube. Scrotum cavity is punctured with needle for intramuscular inhections No. 21g 0.80×40 with connected syringe, filled with physiological solution, by means of which tensed artificial hydrocele is formed.Volume of hydrocele is calculated by formula of difference of volumes of two truncated elongated spheroids: g = 5,4×(b+h/2)3-4/3πab2, where g is required hydrocele volume, h is about 1.5 cm above testicles, a is long semi-axis of testicle, b is short semi-axis of testicle, 5,4(b+h/2)3 is volume of truncated hydrocele spheroid, and 4/3πab2 is volume of testicle spheroid. Direct examination of scrotum organs is carried out in endovideoscopic way, and after completion of all stages of its audit, scrotum cavity is emptied through needle and trocar, which are later removed, and opening is tightened with catgut, without drainage.EFFECT: method makes it possible to minimise trauma of said operation, improve quality of visualisation of organs and detection of present tissue changes, which makes audit more informative.1 ex, 5 dwgИзобретение относится к медицине, а именно к хирургии и андрологии. Доступ к органам мошонки осуществляют с применением эндовидеохирургической техники с формированием искусственного гидроцеле. При этом мошоночным доступом длиной 5 мм на границе нижней и средней трети по переднелатеральной поверхности мошонки, с осуществлением гемостаза вскрывают полость мошонки. Через полученный доступ вводят троакар и оптический инструмент. Раневой кана
