کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4154804 1273726 2016 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Laparoscopic treatment of nonpalpable testicle. Factors predictive for diminished size
ترجمه فارسی عنوان
درمان لاپاروسکوپی بیضه غیر قابل انعطاف عوامل پیش بینی شده برای اندازه کاهش یافته است
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

PurposeThe purposes of this study were to demonstrate the usefulness of laparoscopy in intraabdominal testicle (IAT) and to determine factors associated with diminished size during the final outcome after laparoscopic orchidopexy.MethodsThis is a retrospective analysis of consecutive patients from 1999 to 2013 with a minimum follow-up of 1 year. Patient and testicular factors were related to diminished size.ResultsSixty one patients, and 92 testicles were included. Median age at operation was 42 months. Initially we found 66 normal sized testes (71.7%), 22 hypotrophic (23.9%) and four atrophic (4.3%). Eighty seven testes were brought down laparoscopically, 50 in one surgical stage and 37 in two stages. Mean follow-up was 40.2 months and the final outcome was success: 73.5% and diminished size: 26.5%. Variables associated with diminished size were hypotrophy during initial evaluation, short spermatic vessels, section of spermatic vessels, two-stage surgery and tension to reach contralateral inguinal ring. Multivariate analysis showed that initial hypotrophy (odds ratio [OR] 4.96, confidence interval 95% [CI] 1.36–18.10) and tension to reach contralateral ring (OR 4.11, 95% CI 1.18–14.34) were associated with diminished size.ConclusionsLaparoscopy is useful in treating IAT. Initial size and tension to reach contralateral ring are factors associated with diminished size.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 51, Issue 7, July 2016, Pages 1201–1206
نویسندگان
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