Ali Raza Brohi, Naseem Mengal.
Laparoscopic Single Stage Vessel Sparing Orchiopexy.
J Surg Pak Jan ;22(4):133-7.

Objective: To find out effectiveness of primary laparoscopic orchiopexy and single stage vessel sparing technique for intra-abdominal testis. Study design: Retrospective study. Place & Duration of study: Department of Paediatric Surgery Peoples University of Medical & Health Sciences Nawabshah, from September 2011 to September 2015. Methodology: After approval from hospital ethical committee, data of patients with undescended nonpalpable testes were reviewed. Ultrasonography was done in all cases. Variables analyzed included patients? age, laterality of testis, laparoscopic findings and postoperative complications. Results: Data of 100 patients was reviewed. There were 110 undescended impalpable testicles (UIT). Age ranged from infancy to 12 year. Most (80%) of the patients were between 1-5 year of age. Fifty-five patients had right sided impalpable testis, 35 left sided and 10 patients had bilateral UIT. Laparoscopy was performed in all. At endoscopy 78 testicles were intra-abdominal in position. In these patients single stage vessel sparing orchiopexy was done. Orchiectomy was performed in five patients due to impression of being atrophic. Laparoscopy revealed 10 canalicular testis. In these patient inguinal explorations was done and orchiopexy performed. Conclusions: Laparoscopic single stage vessel sparing technique was safe and orchiopexy was successfully performed. Testicular viability was noticed in 97.5% units.

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