Hoʻomaʻemaʻe testicle ʻole
ʻO ka hoʻomaʻemaʻe testicle ʻole ʻo ke kīkē e hoʻoponopono i nā testicle ʻaʻole i iho i lalo i ke kūlana kūpono i ka scrotum.
Hoʻolālā nā testicle i loko o ka ʻōpū o ke pēpē i ka ulu ʻana o ka pēpē i loko o ka ʻōpū. Hāʻule lākou i lalo i ka scrotum i nā mahina hope ma mua o ka hānau ʻana.
I kekahi mau hihia, ʻaʻole e hāʻule hoʻokahi a ʻelua paha testicle i ke kūlana kūpono. Ma kahi o ka hapalua o kēia mau hihia e iho i loko o ka makahiki mua o ke ola me ka ʻole o ka lapaʻau.
Paipai ʻia ke kīʻaha hoʻomaʻemaʻe testicle ʻole ʻole no nā kāne nona ka testicle e iho ʻole ma o lākou iho.
Hana ʻia ke ʻokiʻoki ke hiamoe ke keiki (unconscious) a ʻaʻohe ʻeha ma lalo o ka anesthesia āpau. ʻO ke kaukoki e ʻokiʻoki i ke ana. ʻO kēia kahi i loaʻa ai nā hōʻoia ʻoi loa.
Ma hope o ka loaʻa ʻana o ke kaula e paʻa ai nā hōʻike ma ka scrotum, wehe ke kauka iā ia mai nā aʻa e hoʻopuni iā ia. ʻAe kēia i ke kaula e hoʻolōʻihi i kona lōʻihi piha. Hana ʻia kahi ʻoki liʻiliʻi i ka scrotum, a hana ʻia kahi ʻeke. Huki ʻia ka testicle i lalo i ka scrotum, a humuhumu ʻia i wahi. Hoʻohana ʻia nā kuʻi e pani i nā ʻoki ʻoki.
I kekahi mau hihia, hiki ke hana i ke kaʻina hana laparoscopically. Hoʻopili kēia i nā ʻoki liʻiliʻi liʻiliʻi.
Ke kiʻekiʻe loa ka testicle, koi paha ka hoʻoponopono i ʻelua pae. Hana ʻia nā hana ʻoki kaʻawale i mau mau mahina ke kaʻawale.
Paipai ʻia kēia ʻoki no nā pēpē i ʻoi aku ma mua o 1 mau makahiki nona ka hōʻike i iho ʻole i loko o ka scrotum (cryptorchidism).
He ʻokoʻa ke kumu hoʻohālikelike i hoʻohālikelike ʻole ʻia mai kahi hōʻike "retractile". I kēia kūlana, hāʻule ka testicle i loko o ka scrotum a laila huki hou. ʻAʻole pono nā testicle Retractile i kahi ʻoki.
Nā pilikia no kekahi anesthesia:
- Nā hopena i nā lāʻau
- Pilikia i ka hanu ʻana
ʻO nā pōʻino no kēlā me kēia ʻoki kino:
- Kahena
- Maʻi kīnā
ʻO nā pōʻino no kēia ʻoki ʻana:
- ʻO ka Shrinkage o ka testicle a i ʻole ka holo ʻole o ka testicle e ulu i ka nui maʻamau.
- ʻAʻole hiki ke lawe i ka testicle i loko o ka scrotum, i ka hopena i ka lawe ʻia ʻana o ka testicle.
Kūleʻa ka hoʻomaʻemaʻe testicle ʻole i ka hapanui o nā hihia. ʻO kahi pākēneka liʻiliʻi o nā kāne e loaʻa i nā pilikia momona.
Pono nā kāne i loaʻa nā testicle i hoʻohaʻahaʻa ʻole ʻia e hana i nā hōʻike pilikino iā lākou iho i kēlā me kēia mahina no ke koena o ko lākou ola e nānā no nā tumors hiki. ʻO nā kāne me nā hōʻike hōʻike ʻole kiʻekiʻe he kiʻekiʻe ka nui o ka maʻi ʻaʻai testicular ma mua o nā mea me ka ulu ʻana o ka testicle maʻamau, ʻoiai inā he testicle lākou i iho piha i ka ʻaoʻao ʻē aʻe. Aia kekahi mea ʻoi aku ka kiʻekiʻe no ka maʻi ʻaʻai testicular ma kahi testicle ʻē aʻe i iho maʻamau. ʻO ka lawe ʻana i nā testicle i lalo e maʻalahi ka nānā ʻana no ka ulu ʻana o ka tumo i ka wā e hiki mai ana.
Hiki ke hana i ke ʻoki ma kahi kumu o waho. Paipai ʻia ka wahi hoʻomaha no 2 a 3 mau lā. Hōʻalo i nā hana ikaika, e like me ke paikikala, no ka liʻiliʻi o 1 mahina.
Orchidopexy; Inguinal orchidopexy; ʻO Orchiopexy; Hoʻoponopono o ka hōʻike hōʻike ʻole ʻia; Hoʻoponopono Cryptorchidism
- Anatomia hānau kāne
- Ma mua a ma hope o ka hoʻoponopono hou ʻana o testicular
ʻO Barthold JS, ʻo Hagerty JA. ʻO Etiology, diagnose, a me ka hoʻokele o nā hōʻike hōʻike ʻole ʻia. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 148.
ʻO Elder JS. Nā maʻi a me nā anomalies o ka maʻiʻo scrotal. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 545.
Srinivasan A, Ghanaat M. Laparoscopic orchiopexy. I: Bishoff JT, Kavoussi LR, nā hua. ʻO Atlas o Laparoscopic a me Robotic Urologic Surgery. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2017: chap 42.