Torsion of an intra-abdominal testicle

Richie, James L.

doi:10.1016/0002-9610(57)90604-9

Cited by 8 publications

(2 citation statements)

References 9 publications

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“…Approximately less than half of the trainees are estimated to continue in the discipline of general surgery. 32 Organization of services with inclusion of parts of all disciplines provides opportunity to prospective candidates for informed decision in identifying area of interest and choosing courses for further training. It is a common observation that most candidates apply for more than one course.…”

Section: Collateral Issuesmentioning

confidence: 99%

A Case for Horizontal Distribution of Activities between General Surgery and Surgical Super Specialties

Minocha

Gupta

2023

Ann Natl Acad Med Sci

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Under the current practice in organizing surgical services, proportionate representation of disciplines is provided in the curricular planning and in corresponding clinical functions. This is based on the level of competence expected by the end of training period. The disciplines as a “whole” are placed in general surgery or super specialty. The system of vertical arrangement has some serious concerns. Paradoxically, patients with diseases of simple and routine nature of discipline categorized as super specialty are neglected. Super specialist is unable to attend on account of preoccupation with serious challenging problems. The general surgeon hesitates because of privileging issues, fear of allegations of negligence and litigation. The system of vertical division is based on premise that some disciplines deal with complex procedures and others with only simple and routine nature. This premise is incorrect. Each discipline is a mix of simple and complex cases requiring specialized treatment. Alternate modified organization of surgical service is proposed. Activities of all disciplines are scrutinized according to the level of expected competence by the end of training. Categorization is shifted from the “discipline' to “activities.” Criteria applied for classification of activities are as follows: on completion, the trainee is capable to assume full responsibility-category 1; has gained sufficient experience-category 2; and is conversant with broad understanding of management-category 3. Activities of category 1 from all disciplines are assigned to general surgery and those of category 3 from all disciplines are assigned to respective super specialty. Those in the middle, comprising difficult cases but not requiring specialized training or heavy inputs in equipment, are in category 2. They are assigned to general surgery as additional/optional items, or super specialty, guided by local factors. The scope and practice of general surgery are broadened with a shift from “residual” to “comprehensive” discipline. Advantages, concerns, collateral issues of horizontal distribution of activities, its positive impact on research and education are discussed. It is concluded that the proposed organization of surgical services is a rational, logical, and practical strategy for good-quality surgical care in the society. The super specialists need to be convinced that “taking load off” is good for the specialty.

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Section: Collateral Issuesmentioning

confidence: 99%

A Case for Horizontal Distribution of Activities between General Surgery and Surgical Super Specialties

Minocha

Gupta

2023

Ann Natl Acad Med Sci

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“…Occasionally, a testicle is absent (anorchism), sometimes, more than two testicles (polyorchidism), one of which may be undescended (3). There is an increased incidence of infertility (4,5), trauma, torsion (6,7), and malignant changes in patient with undescended testicles (8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

Abnormalities of External Genitalia and Groin Hernias in the City of Karak in the South of Jordan

Al-Shawawreh¹,

Mayyaleh²

2010

AMM

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The aim of this prospective study was to find out the incidence of groin hernias and external genitalia abnormalities in children in the City of Karak at the south of Jordan for referral and early treatment, as well as to educate the population about the risk and complication of these abnormalities.A total of 2 038 male children aged 6-12 years, primary school attendants, underwent careful clinical examination of groin, penis and scrotum. Abnormal findings were detected in 381 male children (18,7%).The abnormalities were as follows: indirect inguinal hernia in 280 children, undecided testicles in 44 children, retractile testicles in 26, hypospadias in 15, varicocele in 10, hydrocele in five children. Herniotomy was detected in 66 with 4 cases failures, orchidopexy in five children with two failures, hypospadia in one child who failed. No one with hydrocele or varicocele underwent surgery.We conclude that indirect inguinal hernia is common in children. Undescended testicles are not uncommon. The majority of children with abnormalities are late for treatment. Failure rate of treatment is high. Education of population is needed to improve the outcome.

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Erkrankungen der Geschlechtsorgane

Stave¹

1966

Lungen-Luftwege Herz-Kreislauf Nieren-Harnwege

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Torsion of an intra-abdominal testicle

Cited by 8 publications

References 9 publications

A Case for Horizontal Distribution of Activities between General Surgery and Surgical Super Specialties

A Case for Horizontal Distribution of Activities between General Surgery and Surgical Super Specialties

Abnormalities of External Genitalia and Groin Hernias in the City of Karak in the South of Jordan

Erkrankungen der Geschlechtsorgane

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