Surgical treatment steps for acute orchitis

Under normal circumstances, surgery for acute orchitis involves releasing the tunica vaginalis of the spermatic cord to reduce compression on blood supply to the testicle caused by swollen tissue, thereby preventing testicular necrosis and atrophy. The specific surgical steps are as follows:

1. Position the patient in a supine position, disinfect the genital area, and drape with sterile towels.

2. Disinfect the base of the scrotum and make a transverse incision.

3. Incise the skin, subcutaneous dartos fascia, and the tunica vaginalis, completely dissecting the testis and epididymis out of the body.

4. Use atraumatic forceps to grasp the epididymal tissue, then use a scalpel or electrocautery device to remove the epididymis along the plane between the testis and epididymis.

5. Use instruments to exteriorize the vas deferens, free it, and strip off its outer sheath.

6. Cut the vas deferens and ligate both cut ends with silk sutures.

7. As far as possible from the tail of the epididymis, transect the vas deferens; by following the course of the vas deferens, completely exteriorize and remove the entire epididymis.

8. After confirming hemostasis, reposition the severed end of the vas deferens into the scrotum and suture the wound.

9. Dry the patient's genital area, help the patient dress, and conclude the surgery.

The procedure should be performed at a正规 hospital under the guidance of a qualified physician. Patients must abstain from sexual intercourse after surgery. If symptoms such as wound bleeding or signs of inflammatory infection occur postoperatively, patients should promptly return to a正规 hospital and seek treatment from a qualified doctor.