UROLOGIC OPERATION 3 Hypospadius repairr

Hypospadias Repair

Objective

In case of:

•   Arrested development of urethra opening at some point on the ventral surface of the penis.

•   Transfer of the opening to the tip of the penis.

Position

Supine (legs apart).

Anesthesia

General.

Procedure

1.  The chordee (bend in penis) by excising the fibrous tissue on the under aspect of the penis.

2.  On the under surface of the penis in place of the absent urethra, urethra is reconstructed.

3.  Incision is made on the under aspect of the penis.

4.  The reconstructed urethra tube splinted by a catheter, is placed in the tunnel over which the remaining foreskin is grafted.

Instruments

•   Basic/Minor procedure tray

•   Urethral sounds (Fig. 11.3).

•   Electrosurgical unit.

Any questions send to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site,please write to address above.

To create consumer/provider engagement vist www.surginstruatlas.blogspot.com

www.surgseminar.blogspot.com        www.drmmkapur.blogspot.com

UROLOGIC OPERATION2 2 Hydrocelectomy

Hydrocelectomy (Joubley’s)

Objective

In case of:

•   Hydrocele

•   Excision of a portion of the tunica vaginalis testis with evacuation of fluid contained.

Position

Supine (legs apart).

Anesthesia

Spinal or general.

Procedure

1.  A scrotal approach is employed.

2.  The hydrocele fluid is aspirated through a small incision or with a needle and syringe.

3.  Excessive sac wall is excised or may be wrapped around and sutured behind the epididymis.

4.  If a hernia is present it is repaired.

5.  The incision is closed.

Instruments

•   General set (adult)

•   Electrosurgical unit.

Any questions be sent to drmmkapur@gmail.com

All older posts are saved in archives for access and review.

Visitors that follow may post contributions to the site,please write to address above.

To create consumer/ptovider engagement visit www.surginstruatlas.blogspot.com

www.surgseminar.blogspot.com         www.drmmkapur.blogspot.com

UROLOGIC OPERATIONS 1

Circumcision

Objective

In case of:

•   phimosis and in some for religious requirements.

•   the excision of the foreskin.

Position

Supine (legs apart).

Anesthesia

General.

Procedure

•   A dorsal slit is made.

•   Adhesions are freed.

•   Circumferential incision is made beyond glans.

•   Hemostasis and the wound approximated using absorbable suture.

Instruments

•   Minor surgery set

•   Probe and grooved director (Fig. 9.6).

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may contributions to the site,please write to address above.

To create consumer/provider engagement viit www.surgindtruatlas.blogspot.com

www.surgseminar.blogspot.com           www.drmmkapur.blogspot.com

INSERTION COPPER T

INSERTION

Objective

Reversible female contraception in women in the reproducting age going to avoid pregnancy or for spacing between preg­nancies.

Position

Lithotomy.

Anesthesia

Nil.

Procedure

1.  Expose cervix using Sims’ speculum and anterior vaginal wall retractor.

2.  Hold anterior tip of cervix with Vulsellum and apply gentle traction.

3.  Confirm direction and size of uterus using a uterine sound.

4.  Load Copper T with no-touch technique.

5.  Adjust according to the estimated length of uterine cavity and introduce copper T by withdrawal method.

Instruments

•   D and C set (minus dilators).

•   Scissors.

•   Presterilized copper T 200 packet.

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site,please write to address above.

To create consumer/provider engagement visit www.srgeinstruatlas.blogspotcom

www.surgseminar.blogspot.com           www.drmmkapur.blogspot.com