Surgical Plan for Repairing Hypospadias Procedure
This surgical plan outlines the step-by-step process for repairing hypospadias, a congenital condition affecting the male urethra and penis. The procedure includes strategies for scrotoplasty, reconstructing penile skin, glans suturing, urethrotomy, and catheterization. Detailed instructions are provided for each component of the surgery, from setting up the operating room to post-operative care. Various tools and techniques are used to ensure successful completion of the repair.
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Presentation Transcript
Surgery Plan: Name of procedure STEPS COMPONENTS ORT* As you go through this template use the notes view to read along
Surgery Plan: Repair Hypospadias STEPS COMPONENTS ORT* * OPERATING ROOM Technician (ORT)
Surgery Plan: Repair Hypospadias STEPS COMPONENTS ORT* 1. Strategy 2. Complex scrotoplasty 3. Reconstruct appearance of penis skin 4. Glans suture 5. Urethrotomy 6. Catheterize urethra 7. Robot setup (After strategy) 8.Circumcise and release chordee 9. Simple scrotoplasty 10. Approximate glans wings 11. Resurface skin on penis ventrum 12. Crede and dressing
Surgery Plan: Repair Hypospadias STEPS COMPONENTS ORT* Confirm meatus, Crede, evaluate concealment, erection 1. Strategy Midline incision, paired base incision 2. Complex scrotoplasty 3. Reconstruct appearance of penis skin Normalize preputial meatus, foreskin Walk needle, needle exits 1/3 glans width 4. Glans suture Crede, goal posts on web, cut between, recheck stream 5. Urethrotomy Advance to PSJ, ID thin urethra, suture catheter 6. Catheterize urethra Avoid child s head and dislodging ET tube, suture taut 7. Robot setup (After strategy) Circumcise to release chordee and fibrous paraurethral tissue, release/free glans wings 8.Circumcise and release chordee Release dartos, make incision as Y 9. Simple scrotoplasty Approximate glans spongiosum, anchor glans inner skin 10. Approximate glans wings 11. Resurface skin on penis ventrum Resurface proximal and distal shaft, close circumcision 12. Crede and dressing Dressing sequence, Crede
Surgery Plan: Repair Hypospadias STEPS COMPONENTS ORT* gauze sponge, towel, snugger (rubber band tourniquet) , 5-0 Ti-Cron, grandfather locking forceps Confirm meatus, Crede, evaluate concealment, erection 1. Strategy Midline incision, paired base incision marking pen, scalpel, 2. Complex scrotoplasty 3. Reconstruct appearance of penis skin Normalize preputial meatus, foreskin father forceps, 6-0 VICRYL Walk needle, needle exits 1/3 glans width ?5-0 ticron, straight hemostat, 4. Glans suture Baby forceps, scalpel, Weck-Cel Cellulose Eye Spears saline for irrigation, 6-0 vicryl Crede, goal posts on web, cut between, recheck stream 5. Urethrotomy Assorted catheters, straight iris scissors, straight hemostat, "Fathers" fine forceps 5-0 Ti-Cron Advance to PSJ, ID thin urethra, suture catheter 6. Catheterize urethra Elmed Retract-robot Avoid child s head and dislodging ET tube, suture taut 7. Robot setup (After strategy) Circumcise to release chordee and fibrous paraurethral tissue, release/free glans wings Straight serrated scissors, "Fathers" fine forceps, Bovie 8.Circumcise and release chordee Release dartos, make incision as Y Bovie, "Fathers" fine forceps, rake retractor, 4x4, 9. Simple scrotoplasty Single arm 6-0 pds, "Fathers" fine forceps, Westcott scissors, 7-0 vicryl, Approximate glans spongiosum, anchor glans inner skin 10. Approximate glans wings 11. Resurface skin on Straight serrated, "Fathers" fine forceps, Bovie, 4x4, Wescott Resurface proximal and distal
Surgery Plan: Name of procedure STEPS COMPONENTS ORT*
