Single port laparoscopic orchidopexy in children using surgical glove port and conventional rigid instruments.
10.4111/kju.2015.56.11.781
- Author:
Ben Dhaou MAHDI
1
;
Chtourou RAHMA
;
Jallouli MOHAMED
;
Zitouni HAYET
;
Mhiri RIADH
Author Information
1. Department of Pediatric Surgery, Hedi Chaker Hospital, School of Medicine of Sfax, University of Sfax, Sfax, Tunisia. chtourourahma5@gmail.com
- Publication Type:Evaluation Studies ; Original Article ; Review
- Keywords:
Laparoscopy;
Orchiopexy;
Testis
- MeSH:
Cryptorchidism/pathology/*surgery;
Equipment Design;
Feasibility Studies;
Follow-Up Studies;
Gloves, Surgical;
Humans;
Infant;
Laparoscopy/instrumentation/methods;
Male;
Orchiopexy/*instrumentation/methods;
Retrospective Studies
- From:Korean Journal of Urology
2015;56(11):781-784
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: We review the literature and describe our technique for laparoendoscopic single-site orchidopexy using a glove port and rigid instruments. We assessed the feasibility and outcomes of this procedure. MATERIALS AND METHODS: We retrospectively reviewed the case records of all children who had undergone laparoendoscopic single-site orchidopexy by use of a surgical glove port and conventional rigid instruments for a nonpalpable intraabdominal testis between January 2013 and September 2014. RESULTS: Data from a total of 20 patients were collected. The patients' mean age was 18 months. All cases had a nonpalpable unilateral undescended testis. Fourteen patients (70%) had an undescended testis on the right side and six patients (30%) had an undescended testis on the left side. Seventeen patients underwent primary orchidopexy. Three patients underwent single-port laparoscopic Fowler-Stephens orchidopexy for the first and the second stage. Average operating time was 57 minutes (range, 40 to 80 minutes). No patient was lost to follow-up. At follow-up, 2 testes were found to have retracted out of the scrotum and these were successfully dealt with in a second operation. One testis was hypoplastic in the scrotal pouch. There were no signs of umbilical hernia. CONCLUSIONS: Single-port laparoscopic orchidopexy using a glove port and rigid instruments is technically feasible and safe for various nonpalpable intraabdominal testes. However, surgical experience and long-term follow-up are needed to confirm the superiority of this technique.
