NDLI: Decompressive fasciotomy in testicular torsion of the spermatic cord in rats

Content Provider	Scientific Electronic Library Online (SciELO)
Author	Quintaes, Isabela Passos Pereira Tatsuo, Edson Samesima Paulo, Danilo Nagib Salomão Musso, Carlos Boasquevisque, Paulo César Ribeiro
Abstract	PURPOSE: To evaluate the effect of decompression fasciotomy on testes undergoing torsion of the spermatic cord. METHODS: Spermatic cord torsion was induced in 40 Wistar testes for six and 12 hours. At the time of distortion, decompression fasciotomy was performed on half of the animals. After 42 days, the testicles were examined both macroscopically and microscopically. A non-parametric Mann- Whitney U- test was used for statistical analysis. The results were considered significant at p≤0.05. RESULTS: Testicular weight; volume and degree of histological alterations were evaluated. When the groups without and with fasciotomy were compared, a 12-hour torsion subgroup in the fasciotomy group was noted to present larger volume, heavier weight and superior histological classification when compared with the 12-hour subgroup in the without fasciotomy group. No differences between the two groups after six hours of torsion were found. No significant changes were noticed in the contralateral testis. CONCLUSIONS: Testicular fasciotomy (decompression) benefited the macroscopic and histological aspects of the testicles undergoing cord torsion for a 12-hour period. These results demonstrate the role played by compartment syndrome in the pathophysiology of spermatic cord torsion and the need for decompression.
Related Links	http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0102-86502013000600004&lng=en&nrm=iso http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502013000600004&lng=en&nrm=iso
Starting Page	423
Ending Page	429
Page Count	7
File Format	PDF
ISSN	01028650
DOI	10.1590/S0102-86502013000600004
Journal	Acta Cirurgica Brasileira
Issue Number	6
Volume Number	28
Language	English
Publisher	Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
Publisher Date	2013-06-01
Publisher Institution	Espirito Santo Federal University Surgery Department Minas Gerais Federal University Surgery Department EMESCAM Surgery Department UFES Pathology Department UFES Surgery Department
Publisher Place	Brazil
Access Restriction	Open
Subject Keyword	Spermatic Cord Torsion Compartment Syndromes Surgery Animal Experimentation Rats
Content Type	Text
Resource Type	Article
Subject	Surgery

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