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ISSN 1665-2576 (Print)

2001, Number 4

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Rev Mex Cir Endoscop 2001; 2 (4)

Laparoscopic orchiopexy in not descended testicle of intra-abdominal localization

Nieto ZJ, Ordorica FRM

Language: Spanish
References: 7
Page: 181-184
PDF size: 191.59 Kb.


ABSTRACT

Introduction: The surgical correction of the not descended testis of intra-abdominal localization is a true challenge, in general the results are not satisfactory in about 30 and 60% of cases. The endoscopic surgery is an excellent alternative. Objective: To report the initial experience of the authors with laparoscopic orquidopexia in a single surgical procedure. (LO-1) in patients with not descended testicles of intra-abdominal localization. Design of the study: Prospective and longitudinal trial of pediatric patient with intra-abdominal testicles, who were operated, of LO-1 between December of 1994 and December of 1988. Result: There were practiced 42 LO-1 in 35 patients, 13 left, nine rights and 20 bilateral. The age mean was three years and 12 kg of weight. The surgical time average was 60 minutes, the hospital stay was never bigger than two days. The follow up was between five and 36 months. Forty glands without atrophy, of those 38 ware found in appropriate position and two between the superior portion of the scrotum and the last 2 testis remained atrophic. There were not deaths neither conversions. Conclusion: The LO-1 can be carried out with security in children with intra-abdominal testicles, it is the gold standard for the diagnosis and the surgical technique that offers the best results.


REFERENCES

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  2. Scorer CG. The descent of the testis. Arch Dis Child 1964; 39: 605.

  3. Wilson-Storey, MacKinnon AE. The Laparoscope and the undescended testis. J Pediatr Surg 1992; 27: 89-92.

  4. Boddy SA, Gordon AC, Thomas DF, Browning FS. Experience with the Fowler-Stephens and microvascular procedures in the management of intra-abdominal testis. Bri J Urol 1991; 68: 199.

  5. Docimo SG. The results of surgical therapy for cryptorchidism: A literature review and analysis. J Urol 1995; 154: 1148.

  6. Poppas DP, Lemack GE, Mininberg DT. Laparoscopic orchiopexy: Clinical experience and description of technique. J Urol 1996; 155: 708-711.

  7. Bloom DA. Two-step orchiopexy with pelvioscopic clip ligation of the spermatic vessels. J Urol 1991; 145: 1030.




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