Difference between revisions of "Orchiectomy"
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{{Infobox surgical procedure | {{Infobox surgical procedure | ||
| anesthesia_type = | | anesthesia_type = General, spinal optional but rare | ||
| airway = | | airway = LMA more common, ETT backup | ||
| lines_access = | | lines_access = PIV x 1 | ||
| monitors = | | monitors = Standard | ||
| considerations_preoperative = | | considerations_preoperative = | ||
| considerations_intraoperative = | | considerations_intraoperative = Vagal bradycardia can be caused by pulling on the genitals, atropine should be available and alert surgeon | ||
| considerations_postoperative = | | considerations_postoperative = Infection, bleeding | ||
}} | }} | ||
Orchiectomy is the removal of the testicle. Performed often for suspected testicular cancer, in which case an inguinal orchiectomy is performed so the surgeon can also resect the retroperitoneal lymph nodes. For non-cancerous lesions including trauma or testicular torsion, the testicle is removed through the scrotum. A testicular prosthesis may be inserted. | |||
== Preoperative management == | == Preoperative management == | ||
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Latest revision as of 16:47, 4 April 2022
Orchiectomy
Anesthesia type |
General, spinal optional but rare |
---|---|
Airway |
LMA more common, ETT backup |
Lines and access |
PIV x 1 |
Monitors |
Standard |
Primary anesthetic considerations | |
Preoperative | |
Intraoperative |
Vagal bradycardia can be caused by pulling on the genitals, atropine should be available and alert surgeon |
Postoperative |
Infection, bleeding |
Article quality | |
Editor rating | |
User likes | 0 |
Orchiectomy is the removal of the testicle. Performed often for suspected testicular cancer, in which case an inguinal orchiectomy is performed so the surgeon can also resect the retroperitoneal lymph nodes. For non-cancerous lesions including trauma or testicular torsion, the testicle is removed through the scrotum. A testicular prosthesis may be inserted.
Preoperative management
Patient evaluation
System | Considerations |
---|---|
Neurologic | |
Cardiovascular | |
Pulmonary | |
Gastrointestinal | |
Hematologic | |
Renal | |
Endocrine | |
Other |
Labs and studies
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
Induction and airway management
Positioning
Maintenance and surgical considerations
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
Variant 1 | Variant 2 | |
---|---|---|
Unique considerations | ||
Position | ||
Surgical time | ||
EBL | ||
Postoperative disposition | ||
Pain management | ||
Potential complications |
References
Top contributors: Olivia Sutton and Chris Rishel