Early Clinical Outcome of Staged Laparoscopic Traction Orchidopexy for Abdominal Testes

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Mohamed AbouhebaSaber Waheeb

Abstract

To assess the short-term clinical outcome of the novel Shehata technique of laparoscopic traction-lengthening for abdominal testes in a single center over a 12-month period (January-December 2014). An ethics approval of the study and appropriate consents were obtained for all patients before inclusion in our study. A total of 47 consecutive boys presented with impalpable testes in the ipsilateral hemiscrota, 3 of them were bilateral summing up to a total of 50 U of impalpable testes to a single center over 12 months (January-December 2014). Those boys underwent a preoperative ultrasound (US) Doppler scan for the ipsilateral and contralateral testes. They then proceeded to a first-stage laparoscopic exploration for the testes in which the cranial testicular artery and the caudal vas deferens were traced to their meeting point to locate the abdominal testes that were either found (peeping at the internal inguinal ring [IIR] or more cranially) or otherwise vanishing (intraabdominally blind-ending vas and vessels or extra-abdominally passing through the IIR). All 50 testes failed to stay at the contralateral IIR when brought there mandating a preliminary lengthening of the testicular vessels by lateral dissection, traction, and fix...Continue Reading

References

Oct 25, 2008·Journal of Pediatric Urology·Leslie D TackettAnthony A Caldamone
Nov 18, 2008·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·S M Shehata
Jun 24, 2010·The Urologic Clinics of North America·Richard A AshleyThomas F Kolon
Sep 3, 2013·Pediatric Surgery International·Sameh M ShehataMohamed A Baky Fahmy
Mar 26, 2014·Asian Journal of Surgery·Iskandar Rahardjo BudiantoTomoaki Taguchi
May 27, 2014·The Journal of Urology·Thomas F KolonJulia S Barthold

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Citations

Apr 6, 2021·Journal of Pediatric Surgery·Waleed DawoodAhmed Fahmy
May 19, 2021·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Tatiana C BenziLuciano Alves Favorito

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Methods Mentioned

BETA
sedation
dissection

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