Testicular Torsion - Revision history

WikiSysop at 14:02, 2 September 2024

2024-09-02T14:02:01Z

← Older revision		Revision as of 14:02, 2 September 2024
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	[4] Heap G. Correcting torsion of the testis under local anaesthetic. ANZ J Surg. 2003 Jul;73(7):551. doi: 10.1046/j.1445-1433.2003.02688.x. PMID: 12864838.		[4] Heap G. Correcting torsion of the testis under local anaesthetic. ANZ J Surg. 2003 Jul;73(7):551. doi: 10.1046/j.1445-1433.2003.02688.x. PMID: 12864838.

			[https://www.sciencedirect.com/science/article/abs/pii/S1477513124004443 Urgent surgical exploration for neonatal torsion under spinal anesthesia]

2024-07-01T20:46:28Z

References

← Older revision		Revision as of 20:46, 1 July 2024
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	== References ==		== References ==
	~~<blockquote>~~[1] Sharp VJ, Kieran K, Arlen AM. Testicular torsion: diagnosis, evaluation, and management. Am Fam Physician. 2013 Dec 15;88(12):835-40. PMID: 24364548.		[1] Sharp VJ, Kieran K, Arlen AM. Testicular torsion: diagnosis, evaluation, and management. Am Fam Physician. 2013 Dec 15;88(12):835-40. PMID: 24364548.

	[2] Cote CJ. A Practice of Anesthesia for Infants and Children. 6th edition. Elsevier, 2017.		[2] Cote CJ. A Practice of Anesthesia for Infants and Children. 6th edition. Elsevier, 2017.
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	[3] Fernandez N, Santander J, Ceballos C. Regional Anesthesia. An Alternative to General Anesthesia in the Management of Neonatal Testicular Torsion. Urology. 2020 Dec;146:219-221. doi: 10.1016/j.urology.2020.06.037. Epub 2020 Jul 6. PMID: 32645373.		[3] Fernandez N, Santander J, Ceballos C. Regional Anesthesia. An Alternative to General Anesthesia in the Management of Neonatal Testicular Torsion. Urology. 2020 Dec;146:219-221. doi: 10.1016/j.urology.2020.06.037. Epub 2020 Jul 6. PMID: 32645373.

	[4] Heap G. Correcting torsion of the testis under local anaesthetic. ANZ J Surg. 2003 Jul;73(7):551. doi: 10.1046/j.1445-1433.2003.02688.x. PMID: 12864838.~~</blockquote>~~		[4] Heap G. Correcting torsion of the testis under local anaesthetic. ANZ J Surg. 2003 Jul;73(7):551. doi: 10.1046/j.1445-1433.2003.02688.x. PMID: 12864838.

2024-05-31T20:10:12Z

Anesthetic Management

← Older revision		Revision as of 20:10, 31 May 2024
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	== Anesthetic Management ==		== Anesthetic Management ==
	~~The surgery is usually performed under general anesthesia with tracheal intubation after RSI, since~~ patients with suspicion of testicular torsion are considered to have a full stomach[2]. ~~However~~, there are some case reports describing the orchiectomy under regional anesthesia[3][4]. ~~Although usually there is important relieve of the pain after the torsion is solved[2].~~
			* Standard monitoring;
			* Since patients with suspicion of testicular torsion are considered to have a full stomach Rapid Sequence Induction is indicated [2];
			* Secure the airway with tracheal intubation to avoid bronchoaspiration [2]
			* Usually there is important relieve of pain after the torsion is solved, so there is no any specific consideration about analgesic management[2].

			Although the previous recommendations, there are some case reports describing the orchiectomy due to testicular torsion under regional anesthesia[3][4].

	== References ==		== References ==

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+== Introduction and Epidemiology ==
-https://www.nejm.org/doi/full/10.1056/NEJMicm2110702
+The incidence of torsion according to the age shows two peaks, the first of them in neonates and the other one around puberty. In neonates, extravaginal torsion is common, where the entire cord, including the processus vaginalis twists, and it can present as a painless scrotal swelling. Testicular survival in neonatal torsion is generally low, with a salvage rate of around 9%. In older children and adults, testicular torsion is usually intravaginal, in which the twisting of the cord occurs within the tunica vaginalis [1].
-[https://www.jpedsurg.org/article/S0022-3468(21)00683-7/fulltext?rss=yes Perinatal testicular torsion: The clear cut, the controversial, and the "quiet" scenarios]
+== Diagnosis ==

2022-10-02T12:14:27Z

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	https://www.nejm.org/doi/full/10.1056/NEJMicm2110702		https://www.nejm.org/doi/full/10.1056/NEJMicm2110702

			[https://www.jpedsurg.org/article/S0022-3468(21)00683-7/fulltext?rss=yes Perinatal testicular torsion: The clear cut, the controversial, and the "quiet" scenarios]

2021-11-03T15:46:44Z

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https://www.nejm.org/doi/full/10.1056/NEJMicm2110702