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IRCT20130812014333N198 IRCT 2023-03-24 Esfahan University of Medical Sciences Comparison of fasciotomy of the testicular tunica albuginea outcomes in treating testicular torsion surgery in children Comparison of fasciotomy of the testicular tunica albuginea outcomes in treating testicular torsion surgery in children referred to Imam Hossein (AS) hospital in Isfahan. 2023-03-06 anticipated 64 Complete https://irct.ir/trial/68600 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization will be done in a simple random method, after identifying eligible patients, they will be randomly assigned a three-digit dedicated code. The last digit on the right determines the patient group. If this number is 0, 1, 2, 3, 4, it will be assigned in the first intervention group, and if this number is 5, 6, 7, 8, 9, it will be assigned in the second intervention group. N/A Testicular rotation. Intervention 1: The intervention group is the patients for whom fasciotomy, detorsion, and orchiopexy will be performed. Patients should undergo surgery within 6 hours.First, the patient is put under general anesthesia, and after making a skin incision on the scrotum and opening the subcutaneous tissue and tunica vaginalis, the testicle is taken out first, detour is performed, and blood supply is established. For torsion of the left testicle, first the testicle is rotated clockwise, and for the right testicle, we do the opposite, i.e. it is rotated counterclockwise. For fasciotomy, a cut is first made on the tunica albuginea, and a flap of the tunica vaginalis is placed on the incision site and fixed with PDS=4_0 thread (ethicon company). Intervention 2: The control group is the patients for whom detorsion and orchiopexy will be performed without fasciotomy. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information
public Dr. Mehrdad Hossinpour
Isfahan University of Medical Sciences, Hezar Jarib St..
Isfahan Iran (Islamic Republic of) 8174673461 +98 31 3792 3071 Hossinpour@yahoo.com Esfahan University of Medical Sciences scientific Dr. Mehrdad Hossinpour
Isfahan University of Medical Sciences, Hezar Jarib St..
Isfahan Iran (Islamic Republic of) 8174673461 +98 31 3792 3071 Hossinpour@yahoo.com Esfahan University of Medical Sciences Iran (Islamic Republic of) Children with abdominal pain and testicular pain and testicular swelling and placement in a transverse position in the scrotum Diagnosis of testicular torsion according to ultrasound Informed consent Age less than 14 years 14 years no limit Male A testicle that has necrotic areas or is completely necrotic and cannot hold the testicle History of orchiopexy or inguinal hernia surgery Treatment - Surgery Treatment - Surgery The intervention group is the patients for whom fasciotomy, detorsion, and orchiopexy will be performed. Patients should undergo surgery within 6 hours.First, the patient is put under general anesthesia, and after making a skin incision on the scrotum and opening the subcutaneous tissue and tunica vaginalis, the testicle is taken out first, detour is performed, and blood supply is established. For torsion of the left testicle, first the testicle is rotated clockwise, and for the right testicle, we do the opposite, i.e. it is rotated counterclockwise. For fasciotomy, a cut is first made on the tunica albuginea, and a flap of the tunica vaginalis is placed on the incision site and fixed with PDS=4_0 thread (ethicon company). The control group is the patients for whom detorsion and orchiopexy will be performed without fasciotomy. Vascular spasms and flu. Timepoint: Before surgery, one hour and 24 hours after surgery. Method of measurement: Sonography. Hematoma. Timepoint: After surgery. Method of measurement: Sonography. Esfahan University of Medical Sciences Approved 2022-05-23 Ethical Committee of medical School, Isfahan University of Medical Sciences Vice Chancellor for Research Affairs, University Blvd., Arghwanieh, J Sharghi Street Isfahan Isfehan Iran (Islamic Republic of)