|کد مقاله||کد نشریه||سال انتشار||مقاله انگلیسی||ترجمه فارسی||نسخه تمام متن|
|5718151||1411242||2017||3 صفحه PDF||سفارش دهید||دانلود کنید|
PurposeTo report our experience in surgical management of nonpalpable intraabdominal testis (NPIT) by inguinal orchidopexy without division of the spermatic vessels.MethodsWe reviewed the records of NPIT patients who underwent orchidopexy between 2012 and 2015. All patients were evaluated ultrasonographically. When the testis was not detected ultrasonographically, a laparoscopic exploration was performed. If the testis was found on laparoscopy, surgery was resumed through an inguinal incision. A follow-up was performed at 1Â week, 1, 3 and 6Â months.ResultsTwenty-one NPIT patients were treated, mean age 21.0Â Â±Â 11.7Â months. Ultrasound identified 15 cases of NPIT (71%); diagnostic laparoscopy was performed in 6 (29%). All patients underwent an inguinal orchidopexy. At 1Â week, four testes were in a high scrotal position. At 6Â months follow-up, one testis was in a high scrotal position and one retracted up to the external inguinal ring. No atrophy was recorded.ConclusionsDespite several attempts to find a surgical technique without any significant complications, all described procedures failed to meet the target. In our experience, inguinal orchidopexy is a safe, reliable and successful surgical procedure for the management of NPIT. It should be preferred to a technique requiring vascular division, burdened with a higher incidence of atrophy.Type of studyTreatment study.Levels of evidenceCase series with no comparison group.
Journal: Journal of Pediatric Surgery - Volume 52, Issue 4, April 2017, Pages 650-652