Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/21743
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dc.contributor.authorLaher, Abdullah-
dc.contributor.authorSwart, Marlize-
dc.contributor.authorHoniball, John-
dc.contributor.authorPerera, Marlon-
dc.contributor.authorLawrentschuk, Nathan-
dc.contributor.authorAdam, Ahmed-
dc.date2019-09-11-
dc.date.accessioned2019-09-16T04:32:24Z-
dc.date.available2019-09-16T04:32:24Z-
dc.date.issued2020-05-
dc.identifier.citationANZ Journal of Surgery 2020; 90(5): 708-714-
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/21743-
dc.description.abstractTesticular torsion (TT) is a urological emergency that affects one in 4000 males younger than 25 years. Delays in the management of TT may result in testicular ischaemia, testicular necrosis, orchidectomy and infertility. This review assesses the validity of near-infrared spectroscopy (NIRS) as a diagnostic tool in the assessment and diagnosis of TT. A systematic search of Cochrane Database of Systematic Reviews, EMBASE, Google Scholar, PubMed, Scopus and Web of Science databases was performed in January 2019 using specific search terms. Selected studies were ranked and evaluated using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and the Quality Assessment of Diagnostic Accuracy Studies-2 tool. A total of nine studies that included 253 subjects (88 animals and 165 humans) with a mean sample size of 28.1 (standard deviation 40.8) subjects were included. The mean difference in testicular tissue oxygen saturation between torsed and non-torsed testes (Δ%StO2 ) were 45%, 42% (±5%), 26% and 5-18% in four animal studies and 2.0%, 3.0%, 6.7%, 6.8% and 23.0% in five human studies. The tissue oxygen saturation difference between contralateral healthy testes (controls) ranged from 1% to 10% in the five studies that alluded to this. The current body of evidence does not support the use of NIRS in the work-up of TT. Well-designed clinical trials with large patient samples are required to determine whether NIRS may have some future role as a diagnostic modality in TT.-
dc.language.isoeng-
dc.subjectacute scrotum-
dc.subjectnear-infrared spectroscopy-
dc.subjectscrotal pain-
dc.subjecttesticular torsion-
dc.subjecttestis torsion-
dc.titleNear-infrared spectroscopy in the diagnosis of testicular torsion: valuable modality or waste of valuable time? A systematic review.-
dc.typeJournal Article-
dc.identifier.journaltitleANZ Journal of Surgery-
dc.identifier.affiliationDepartment of Emergency Medicine, Faculty of Health Sciences, The University of the Witwatersrand, Johannesburg, South Africa-
dc.identifier.affiliationDepartment of Surgery, The University of Queensland, Brisbane, Queensland, Australiaen
dc.identifier.affiliationDepartment of Surgery, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationThe University of Melbourne, Melbourne, Victoria, Australiaen
dc.identifier.affiliationDepartment of Surgical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australiaen
dc.identifier.affiliationDepartment of Emergency Medicine, Faculty of Health Sciences, The University of the Witwatersrand, Johannesburg, South Africa-
dc.identifier.affiliationDivision of Urology, Faculty of Health Sciences, The University of the Witwatersrand, Johannesburg, South Africa-
dc.identifier.affiliationOlivia Newton-John Cancer Wellness and Research Centre, Austin Health, Heidelberg, Victoria, Australia-
dc.identifier.doi10.1111/ans.15402-
dc.identifier.orcid0000-0002-3306-7389-
dc.identifier.orcid0000-0002-8555-9190-
dc.identifier.orcid0000-0001-9069-3282-
dc.identifier.pubmedid31512384-
dc.type.austinJournal Article-
dc.type.austinReview-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptSurgery-
crisitem.author.deptUrology-
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