2008, Number 4
Orchidopexy Paraescrotal in Children with Criptorquidia Inguinal
Herrera-Garcia WE, Cuevas-Alpuche J, Solorzano-Morales SA, Aguilar-Anzures R, Olivera-Vasquez JL
Language: Spanish
References: 8
Page: 161-168
PDF size: 255.07 Kb.
ABSTRACT
Introduction: Criptorquidia there are an incidence of 3% in new born upon maturity and 33% in new born preterm, in bilateral 25% is. Surgical The treatment is. Traditionally the testicular reduction is made by inguinal boarding, despite can take place by paraescrotal route in safe, effective form and with better aesthetic results. Objective: To describe the results obtained in patients with concrete testicles in the inguinal channel operated by means of the paraescrotal orquidopexiy.Material and Methods: It is retrospective, observacional, descriptive and cross-sectional a study, in a group of patients between 1 and 15 years of age, with criptorquidia inguinal, patients by means of orquidopexia paraescrotal, in a pediatric Hospital. We reviewed age, localization, affected side, associated diagnoses, surgeon, surgical time, complications, aesthetic aspect of the wound, situation and ultrasonograficas dimensions.
Results: 50 patients operated with the paraescrotal technique included themselves, of 1 to 15 years of age, with age average of 5 to 10 years, surgical time average 60 minutes in 26 patients (52%). With hernia inguinal associated in 5 patients (10%). Complications were not registered, the aspect of the wound was excellent, with testicle located in inferior half of scrotum, the results ultrasonográficos posquirúrgicos were inside normal parameters in all the patients. 14 different surgeons participated.
Conclusion: The results allow to corroborate that dissection of the elements vascular is made without difficulty by goes paraescrotal, avoiding dissection of the inguinal channel. The technique is effective, safe, with low risk of complications, reproducible and with better aesthetic results, allowing correction simultaneous of associated inguinal pathologist.
REFERENCES