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CSTSetup
Setup · UrologyCreated by our team

Left Superior Hernia Fusion

Anterior hip replacement · THR · primary total hip arthroplasty

A thin wire loop shaves away the overgrown prostate tissue that is blocking urine flow, from the inside with a lighted scope passed

10 steps · 24 instruments · 2 photos

2 photos from the room

The real back table and Mayo stand, set up for this case.

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Position
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Anesthesia
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Specimen
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Wound class
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In 30 seconds

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The case in 30 seconds

The whole case in a few lines, to scan outside the room.

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Where new techs slip
Where new techs slip

The mistakes the books warn about on this case, and how to stay ahead of each.

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The tray

24 instruments, by what they do. Tap a name for its card.

The tray: 24 instruments

Every instrument on the back table for this case, each with its photo and what it is for.

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Exam prep for this setup

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A timed examTarget 12:27Pro

The room

The equipment, the prep and drape, the suture and the medicines.

The room

The equipment in the room for this case, how the patient is prepped and draped, the suture and the medicines.

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Step by step

10 steps, one line each.

10-step walkthrough

The case from start to finish, with what to have ready next at every step.

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If it goes wrong

What to grab, before anyone asks.

If it goes wrong

What to grab for this case if it bleeds, spills or has to be opened.

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About the procedure

The case

A hydrocele is a collection of fluid around a testicle, inside the thin sac (the tunica vaginalis) that surrounds it in the scrotum. It makes that side of the scrotum swell. In adults it can follow an injury or an infection. In children a hydrocele may come with an inguinal hernia, and then it is repaired through a cut in the groin together with the hernia.

Draining the fluid with a needle usually helps only for a while, because the fluid comes back. A hydrocelectomy fixes it with an operation. Through a small cut in the front of the scrotum, the surgeon frees the sac and empties the fluid, then cuts away most of the sac, or turns it inside out and stitches it behind the testicle (sometimes called bottling the testicle), so there is no closed space left for fluid to fill. The testicle itself is not removed. A small drain may be left in.

Adults usually have numbing medicine with sedation, and children have general anesthesia. Most adults go home the same day; a child may stay overnight. A bulky gauze dressing in a scrotal support keeps light pressure on the area to limit swelling. Most people are back to normal activities in 7 to 10 days. The main problems are swelling of the scrotum and wound infection.

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