Short Term Outcome of Staged Laparoscopic Traction Technique in Management of Abdominal Undescended Testis In Zagazig University Hospitals

Document Type : Original Article

Authors

1 Pediatric Surgery Department, Faculty of Medicine – Zagazig University

2 Department of Pediatric Surgery, Faculty of Medicine, Zagazig University, Egypt.

3 Department of Pediatric Surgery, Faculty of Medicine, Zagazig University, Egypt

4 Pediatric Surgery Department, Faculty of Medicine, Zagazig University

Abstract

Background: The majority of cases with abdominal undescended testis could be safely and effectively managed with the laparoscopic assisted staged traction-orchiopexy approach. This study aimed to identify the short-term outcome of the new procedure (laparoscopic traction technique in management of abdominal undescended testis and to identify the possible complications of the technique.

Methods: This prospective interventional clinical study included 56 cases with intra- abdominal testis, who were operated with staged laparoscopic traction orchiopexy, most of the cases had postoperative good position of the testis mid or low scrotal position keeping the testicular vessels intact not divided or clipped. Patients then followed up at 1 week,1 month, 3 months, 6 months postoperatively.

Results: the duration of first stage was 34.7± 7.3 min, the duration of second stage was 66.3± 11.9 min and the time interval between 2 stages was 115.8± 15.8 days, only 2 cases (3.6 %)of the operated 1st stage cases had slipped ligature, needed redo 1st stage, the majority of cases had mid scrotal position of testis after 1, 3 and 6 months, one case became in low scrotal position after being in mid scrotal position, after resolution of post operative edema in 3 months follow up. Success rate after 6 months was 91% ,51 cases testis position was mid and low scrotal position.

Conclusion: The technique of staged laparoscopic traction is successful and safe for management of abdominal undescended testis. It can be used in cases of abdominal undescended testis which cannot undergo one stage laparoscopic assisted orchidopexy

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Zagazig University Medical Journal

Articles in Press, Accepted Manuscript
Available Online from 28 April 2024

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