METHOD OF ORCHIOCELE SURGICAL TREATMENT Russian patent published in 2008 - IPC A61B17/94 

FIELD: medicine; urology.

SUBSTANCE: operation is carried out in two stages. At the first stage midline abdominal skin incision is applied below navel of length 1 cm. Aponeurosis is dissected. Using dressing forceps prevesical space is approached. Operation space is formed. By line of formed channel optic trocar is inserted. Retropneumoperitoneum is formed by carbon dioxide insufflation to 12 mm mercury column. Through incision in right and left iliac regions two trocars are inserted for manipulators. Surrounding tissues are mobilised. Operation space is widened. Detected spermatic cord is mobilised to inguinal canal and above internal inguinal ring. Spermatic cord is clipped or ligated as high as possible at least, by 6 cm higher of internal inguinal ring in direction to testicle vessels and transected. At the second stage of operation skin and underlying layers are dissected from scrotum side in projection of external inguinal ring lengthways inguinal fold in length 3 cm. Distal part of spermatic cord is mobilised, tightened and led out into formed wound. Testicle is mobilised, tightened, led out from scrotum to wound and remove with spermatic cord. Using optics control posterior wall of inguinal canal is open sutured through inguinoscrotal access. Trocars are removed, wounds are sutured.

EFFECT: method allows for prevention of relapse and metastasis and for reduction of intervention invasiveness.

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