,

Orchiopexy mayo stand and back table surgery setup

Diana Lei-aloha Avatar

setup author

Surgery setup images for Orchiopexy

Orchiopexy surgery instruments

Clamping & Occluding instruments

Curved Hemostat
Curved Hemostat
Mosquito Clamp - Curved
Mosquito Clamp – Curved
Allis Forceps
Allis Forceps

Cutting & Dissecting instruments

#3 Knife Handle
#3 Knife Handle
Curved Iris Scissor
Curved Iris Scissor
Stevens Tenotomy Scissor
Stevens Tenotomy Scissor
Metzenbaum Scissor
Metzenbaum Scissor
Straight Mayo Scissor
Straight Mayo Scissor

Grasping & Holding instruments

Debakey Forcep
Debakey Forcep
Toothed Forcep
Toothed Forcep
Adson Forceps
Adson Forceps

Retracting & Exposing instruments

Freer Elevator
Freer Elevator
Weitlaner Retractor
Weitlaner Retractor
Army-Navy Retractor
Army-Navy Retractor
Senn Retractor
Senn Retractor

Suctioning instruments

Yankauer Suction
Yankauer Suction
Ferg-Frazier Suction
Ferg-Frazier Suction

Suturing & Stapling instruments

Ryder Needle Holder
Ryder Needle Holder
Mayo-Hegar Needle Holder
Mayo-Hegar Needle Holder

What to expect during Orchiopexy

Orchiopexy is a surgical procedure that is performed to treat a condition known as cryptorchidism, which is the failure of one or both testicles to descend into the scrotum. During the procedure, the testicle is located and brought down into the scrotum, and then attached to prevent it from retracting back into the abdomen. Orchiopexy is typically performed in young boys to prevent potential complications such as infertility and testicular cancer that can arise from untreated cryptorchidism.

Positioning
Supine

Drapes
4 folded towels, laparotomy drape

Step 1: Incision and Dissection
During an Orchiopexy, a 15 blade will be used to make an incision on the scrotum or inguinal region, depending on the approach chosen by the surgeon. The surgical technologist should have a 15 blade on hand and ensure that it is sterile before the procedure begins. After making the incision, the surgeon will use a variety of instruments to dissect down to the inguinal ring or other anatomical landmarks that will allow them to locate the testis.

Step 2: Locating the Testis
Once the surgeon has reached the appropriate anatomical location, they will use instruments such as a scalpel or scissors to carefully dissect away any tissues that may be obscuring the testis. The surgical technologist should anticipate the surgeon’s needs and provide them with the necessary instruments as they work.

Step 3: Freeing the Spermatic Cord
After locating the testis, the surgeon will use instruments such as forceps to carefully free the spermatic cord from any torsion or other abnormalities that may be present. The surgical technologist should have a variety of forceps and other instruments on hand to assist the surgeon as needed.

Step 4: Placing Tacking Sutures
Once the spermatic cord has been freed, the surgeon may use tacking sutures to keep the fascia out of the way of the testis. This will allow the testis to have plenty of room to sit comfortably. The surgical technologist should provide the surgeon with the necessary sutures and needles and be prepared to assist with placing the sutures if needed.

Step 5: Controlling Bleeding and Closure
During the procedure, the surgical technologist should be prepared to assist with controlling any bleeding that may occur. This may involve using instruments such as a cautery or hemostats to stop bleeding at the surgical site. Once all bleeding has been stopped, the surgeon will close the incision using sutures or staples. The surgical technologist should be prepared to provide the surgeon with the necessary closure materials and assist with the closure as needed.

The Surgery Sparknotes

  1. Use a 15 blade to make an incision on the scrotum or inguinal region.
  2. Dissect down to the inguinal ring or other anatomical landmarks to locate the testis.
  3. Free the spermatic cord using forceps or other instruments.
  4. Use tacking sutures to keep the fascia out of the way of the testis.
  5. Control bleeding and close the incision using sutures or staples.

4 responses to “Orchiopexy”

  1. Dennis Avatar
    Dennis

    Does the specimen go to pathology like normal?

    1. Diana Lei-aloha Avatar
      Diana Lei-aloha

      There usually isn’t a specimen during an orchiopexy since nothing is being removed (unless the doctor runs into some strange tissue or something that looks abnormal, but that is rare). However, there would be a specimen during an orchiectomy when the testicle is being removed. It would be sent to pathology like normal.

  2. Michael Moon Avatar
    Michael Moon

    A thoroughly educational post, providing an insightful guide into the detailed steps of orchiopexy! Would love to read a supplementary post addressing the surgeon’s decision-making process in choosing the specific approach (scrotum or inguinal region) for the initial incision, and how varied patient factors might influence this. Great read!

  3. Sandy Avatar
    Sandy

    Wow, this is a solid breakdown of orchiopexy! Love how you’ve linked each step with the tools needed – so clear and direct. Really neat guide, thanks for sharing!

Leave a Reply

Your email address will not be published. Required fields are marked *