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Procedure

Right inguinal exploration and excision of blind-ending vas.

After the patient was identified, he was placed on the operating table and general anesthesia was admisinstered. He was then placed in the supine position and prepped and draped in the routine sterile fashion. After examining the patient and reducing his foreskin, he was found to have significant phimosis, which was broken down and he was re-prepped with betadine.
And incision was made in his right inguinal region half way detween his anterior iliac spine and pubic tubercle. A tranverse incision was taken down sharply through Scarpa's down to the fascia of the external oblique. This was incised along the lines and the cord contents were examined. There was a paucity of cord content with a cord going to what looked like a blind-ending vas. There was no evidence of a testicle. The space of Denis Browne was examined and there was no evidence of testicle. The total canal was explored. The blind-endubg vas was cut off at the base. There seemed to be seperate vessels that went to cephalad and what appeared to be possible a vas going caudad. The vessels were tied off doubly after clamping with 3-0 black silk.
The internal inguinal ring was then closed using 3-0 Vicryl. The fascia was closed using interrupted 3-0 Vicryl as well. The Scarpa's was closed using 4-0 Vicryl and 4-0 Vicryl was used in a running subcuticular stitch.
 
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