Purpose: Inguinal orchidopexy is already considered a safe procedure, this paper describes a simple new surgical instrument designed to make the operation easier, simpler and quicker, whilst reducing tissue trauma, in particular to the deep ring. The result of its use in two centres is presented.
Methods: A unidirectional testicular tunneller has been developed comprising a head, shaft and eye. At operation, following testicular mobilisation, the tunneller is passed through the groin incision into the scrotum and a dartos pouch created by cutting against the head of the instrument. This allows more of a "no-touch" technique with less back and forth movement through the inguinal canal. The testis is attached to the eye of the instrument and pulled into the scrotum before fixation.
Results: From November 2000 to December 2011, two surgeons operated on 592 boys using the instrument. 93 procedures were bilateral. All operations proceeded without incident and a healthy testis was safely and permanently placed in the scrotum. There were no complications related to the use of the tunneller. All were treated as day cases.
Conclusion: The instrument described in this paper simplifies inguinal orchidopexy, improves procedural safety and is felt to reduce surgical trauma. In view of these advantages and the absence of complications related to this instrument, its use in inguinal orchidopexy is recommended.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00383-012-3103-9 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Tunica vaginalis or dartos as second layer coverage for distal and mid-shaft penile hypospadias, quo vadis?
World J Urol
January 2025
Urology Department, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Purpose: To compare between the dartos and tunica vaginalis flaps as covering layers in denovo distal or mid-shaft penile hypospadias underwent tubularized incised plate (TIP) repair.
Methods: This is a single-center, randomized trial was for denovo distal or mid-shaft penile hypospadias. Children with history of orchiectomy, orchiopexy and inguinal hernia repair were excluded.
A prospective comparative study of open versus laparoscopic stage II Fowler-Stephens orchidopexy in pediatric patients.
Urologia
January 2025
Department of Pediatric and Neonata Surgery, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.
Introduction: Laparoscopic Fowler Stephens orchidopexy, single stage or two-stage, is now routinely performed in non-palpable testis. We performed second stage orchidopexy as open inguinal approach and compared the outcome of this approach to two-staged laparoscopic orchidopexy.
Methods: We performed a prospective randomized interventional study of two different approaches for intra-abdominal testis.
Spigelian hernia and cryptorchidism syndrome: open spigelian hernia repair and laparoscopic one-stage orchiopexy for ectopic testis.
BMJ Case Rep
January 2025
Pediatric Surgical Services, Mary Bridge Children's Hospital and Health Center, Tacoma, Washington, USA
Spigelian hernia and cryptorchidism syndrome in children is increasingly reported in the literature. A variety of phenotypes have been reported, so diagnostic approaches and operative techniques remain poorly defined. The case of an infant male who presented with a left spigelian hernia and ipsilateral cryptorchidism who was initially misdiagnosed with an ectopic inguinal testis is presented.
View Article and Find Full Text PDFThe Role of Laparoscopy in Managing Impalpable Undescended Testes in a Tertiary Hospital.
Mymensingh Med J
January 2025
Dr Mohammad Showkot Ali, Assistant Professor, Department of Pediatric Surgery, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:
One of the most prevalent congenital defects in boys is undescended testes. Ultrasound is commonly employed to locate the testis in cases of impalpable testes, which frequently yields false-negative results. Laparoscopy has gained widespread acceptance recently for managing impalpable testes.
View Article and Find Full Text PDFTriorchidism diagnosed during a routine hernia repair: A case report and literature review.
Int J Surg Case Rep
January 2025
Department (B) of Visceral Surgery, Charles Nicolle Hospital, Tunis, Tunisia.
Introduction: Triorchidism is a rare anomaly whose management raised considerable discussion. Several factors must be considered, including the patient's age, the testes location, their functional status, and the accessibility and compliance for follow-up. We present a case of triorchidism diagnosed incidentally during a routine hernioplasty procedure, serving educational and informative purposes.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!