Modified Bianchi orchiopexy for median or low cryptorchidism.
- Author:
Zeng-Lei YANG
1
;
Gang ZHANG
1
;
Quan XU
1
;
An-Sheng BAI
1
;
Bai-Ping SUN
1
;
Xiong-Zhou ZHANG
1
Author Information
1. Department of Pediatric Surgery, Northwest Women and Children's Hospital, Xi'an, Shaanxi 710061, China .
- Publication Type:Journal Article
- Keywords:
cryptorchidism;
effect;
modified Bianchi;
orchiopexy;
scrotum
- MeSH:
Child;
Cryptorchidism;
surgery;
Groin;
surgery;
Hematoma;
etiology;
Humans;
Infant;
Male;
Operative Time;
Orchiopexy;
methods;
Postoperative Complications;
etiology;
Postoperative Period;
Scrotum;
surgery;
Surgical Wound
- From:National Journal of Andrology
2017;23(1):39-42
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of modified Bianchi (single incision in the midline of the scrotum) orchiopexy (MBO) versus that of traditional surgery in the treatment of median or low cryptorchidism.
METHODS:Eighty-two children with median or low cryptorchidism were treated from February 2013 to February 2014, 46 (53 testes) by MBO and the other 36 by the traditional method of inguinal incision (control, 40 testes). Comparisons were made in the operation time and postoperative complications between the two surgical strategies.
RESULTS:The mean operation time was significantly shorter in the MBO group than in the control (［25±6］ vs ［35±4］ min, P<0.05). No testicular atrophy, hernias or hydrocele was found in either group during the 1－2 years of follow-up. Testis retraction was observed in 3 cases in the MBO group as compared with 2 in the control (P>0.05). The incision scar was obvious in all the controls, with 1 case of postoperative inguinal hematoma, but almost invisible in all the MBO cases.
CONCLUSIONS:Modified Bianchi orchiopexy is superior to traditional surgery in the treatment of median or low cryptorchidism for its advantages of short operation time, few complications, and satisfactory appearance of the healed incision.
