İntraabdominal Testisli Çocuklarda Spermatik Damarları Ayırmadan Tek Aşamalı Laparoskopik Orşopeksi
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Date
2006
Journal Title
Journal ISSN
Volume Title
Publisher
Türkiye Çocuk Cerrahisi Derneği
Access Rights
info:eu-repo/semantics/closedAccess
Abstract
Aim: The objective of this study was to determine the effectiveness and advantages of one-stage laparoscopic orchiopexy (LO) performed without dividing the spermatic vessels in children with intraabdominal testes. Method: One-stage LO was performed in nine (10 testes) of the patients who underwent laparoscopic diagnostic exploration because of nonpalpable testes. Patient age ranged from 7 months to 13 years (mean age 6 years). We also encountered an ipsilateral inguinal hernia in two cases (22.2 %). Three trocars were used during the operation. The technique consists of mobilization of the spermatic vessels and the vas deferens, dividing the gubernaculum. The testis was brought into the scrotum through the internal inguinal ring if open, or through the new inguinal canal formed medial to the internal inguinal ring if closed. It was fixed in a subdartos pouch. The follow-up period was between 6 months to 3 years (mean 9 months). Results: The testes were at a distance of approximately 0 to 2 cm to the internal inguinal ring. The subcutaneous emphysema was determined in the inguinal and scrotal area in two cases who underwent an inguinal hernia repair. The operating time was between 45 and 80 minutes (mean 65 minutes). The postoperative length of stay was 2 to 4 days (mean 3.3 days). At follow-up, all testes were without atrophy and located in scrotal position. Conclusions: The one-stage LO can be performed successfully in the cases whose intraabdominal testis is at less than 3 cm distance to the internal inguinal ring. The advantages of laparoscopic approach can be utilized with the application of this technique laparoscopically.
Description
Keywords
Laparoscopy, Orchiopexy, Laparoskopi, Orşiopeksi
Journal or Series
Çocuk Cerrahisi Dergisi
WoS Q Value
Scopus Q Value
Q4
Volume
20
Issue
2
Citation
Abasıyanık, A., Yurtçu, M., Biçer, Ş. (2006). İntraabdominal Testisli Çocuklarda Spermatik Damarları Ayırmadan Tek Aşamalı Laparoskopik Orşopeksi. Çocuk Cerrahisi Dergisi, 20, (2), 117-119.
