examining the testicle we proceeded to wrap this in a warm gauze and then I

Examining the testicle we proceeded to wrap this in a

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examining the testicle, we proceeded to wrap this in a warm gauze, and then I turned my attention to the right hemiscrotum. Again another transverse incision was made and carried down to the dartos. I then delivered the testicle on this side. This side was normal. Then a pexing stitch was placed through the dartos without button-holing the skin. Once this was done on both sides, it was also placed through tunicaalbuginea of the testicle. The testicle was then carefully replaced back into the sac with maintaining the lateral sulcus lateral and ensuring that the cord had no twisting. Once the testicle was placed in the sac, the sutures were tied down, then the dartos was closed with a 3-0 chromic suture, and the skin was closed with 4-0 Monocryl suture placed in subcuticular fashion. After this side was done, we waited and then essentially I consulted with the doctor who was originally consulted about this patient's case, he advised to incise the tunica albuginea to examine the tubules, and if the tubules are seen to be viable, then proceed to save the testicle. At this point, the testicle looked marginal and was not completely normal. It looked as if portions of it were viable. I made an incision on the tunica albuginea, over the areasthat looked viable, and then exposed the tubules and noted that it was tan-colored and looked as if it was viable. Some bleeding was noted. At that point, I decided to proceed with saving this side. I closed the incision with a 5-0 chromic suture in a figure-of-eight fashion and then proceeded to pex this side in the same fashion as the other side. Once the apexion was completed, again the dartos was closed with 3-0 chromic suture and the skin was closed with 4-0 Monocryl suture placed in subcuticular fashion. After this was done, local anesthesia was applied to the skin and then Dermabond was also applied to the skin. A fluff dressing as well as scrotal support was placed, and then at this point the procedure was then complete. The patient was then awoken and transferred back to the post anesthesia care unit, where he continued to recover without any difficulty.Note: Assign only the Medical and Surgical Section Codes. Your answer should include 1 code, which is worth 8 points.
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