Laparoscopic percutaneous extraperitoneal closure does not affect vas deferens orientation or testicular volume and perfusion.
- Author:
Le XU
1
;
Can-Qiang LI
1
;
Xiao-Dong CHEN
1
;
Min-Jie QIU
1
;
Jie-Hong JIANG
1
;
Cong YAO
1
;
Wei-Cheng HE
1
;
Yi YANG
1
;
Guan-Xing CHEN
1
;
Hai-Tao SHAN
1
Author Information
1. Department of Pediatric Urologic Surgery, He Xian Memorial Hospital Affiliated to Southern Medical University, Guangzhou, Guangdong 510000, China.
- Publication Type:Journal Article
- Keywords:
laparoscopic percutaneous extraperitoneal closure;
ultrasonography;
pediatric inguinal hernia
- MeSH:
Child;
Hernia, Inguinal;
surgery;
Herniorrhaphy;
methods;
Humans;
Laparoscopy;
methods;
Male;
Organ Size;
Testis;
anatomy & histology;
diagnostic imaging;
Treatment Outcome;
Ultrasonography;
Vas Deferens;
anatomy & histology;
diagnostic imaging
- From:
National Journal of Andrology
2017;23(5):427-430
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the influence of single-port laparoscopic percutaneous extraperitoneal closure (LPEC) on the orientation of the vas deferens and the volume and perfusion of the testis in pediatric patients undergoing inguinal hernia repair.
METHODS:A total of 92 consecutively enrolled boys diagnosed with unilateral inguinal hernia underwent single-port LPEC between June 2013 and June 2014. The orientation of the vas deferens and the testicular volume and perfusion of the patients were ultrasonographically assessed preoperatively and at 1 and 6 months after surgery.
RESULTS:All the surgical procedures were performed successfully without conversion or serious perioperative complications. Ultrasonography showed no angulation or distortion of the vas deferens on the surgical side during a six-month follow-up period. Similarly, no obvious changes were observed in the testicular volume or perfusion.
CONCLUSIONS:Single-port LPEC is safe and effective in the treatment of pediatric inguinal hernia and does not affect the orientation of the vas deferens or testicular volume and perfusion.