Thermographic Patterns for Real-time Intraoperative Monitoring of Testicular Reperfusion Following Surgical Testicular Detorsion

Urología Colombiana

卷:27

Clyde Matava¹  Armando Lorenzo²  Anne-Sophie Blais²  Nicolas Fernandez² 

[1] Department of Anesthesia, The Hospital for Sick Children (SickKids), University of Toronto, Toronto, Ontario, Canada;

[2] Division of Urology, Department of Surgery, The Hospital for Sick Children (SickKids), University of Toronto, Toronto, Ontario, Canada;

关键词: testicular torsion;    infrared ray;    reperfusion;   

DOI  :  10.1055/s-0038-1656559

来源: DOAJ

【 摘 要 】

A 5-year-old patient presents to the emergency department with testicular torsion. Intraoperative sequential infrared thermographic images were registered in real-time using a FLIR One (FLIR Systems, Inc., Wilsonville, OR, US) infrared camera. The temperatures of the scrotum and the testis prior to scrotal exploration were 43.6°C on the affected side, and 41.7°C on the contralateral side. The core temperature of the patient was 36.8°C. Immediately after the tunica vaginalis had been opened and the testis had been brought out through the incision, the temperature of the testicle was 31.5°C. After 30 seconds of being detorted, the temperature increased to 34.3°C. The use of intraoperative infrared thermographic imaging helps to detect discrete changes in testicular temperature, which suggests it may be useful to objectively assess reperfusion. Future studies will require more patients to correlate postoperative blood flow to the injured testis as well as volume changes after surgery to see if the intraoperative thermography findings can be used as a predictive tool for postoperative outcomes.

【 授权许可】

Unknown