Document Detail


Incidence and management of the inguinal hernia during laparoscopic orchiopexy in palpable cryptoorchidism: preliminary report.
MedLine Citation:
PMID:  17287944     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During the laparoscopic approach of undescended testis, an associated inguinal hernia is a frequent finding that must be treated at the same time. The objective of this presentation is to show the incidence and management of the inguinal hernia that were found during laparoscopic orchidopexy, reporting how the scar tissue will join the edges of the canal and the parietal peritoneum will grow above. Between January 1999 and December 2002, 31 patients with 33 palpable and nonpalpable undescended testes were treated by laparoscopic orchidopexy. Patients were between 6 months and 9 years. We used four ports, and 2 mm instrument. When an associated inguinal hernia were found we only removed the membranes of the processus vaginalis and did not close the defect. All cases were treated by the same surgeon. The average surgical time was 50 min that included the orchiopexy and the treatment of the associated inguinal hernia. We found inguinal hernia in 23 cases (69.9%). We did not find any inguinal hernia in the opposite side of the undescended testis. In two patients with bilateral undescended testis that were approached in two stages 3 months later we confirmed the closure of the hernia defect. These 23 patients have 21.5 months average follow up and confirm no recurrence. With an average follow up of 21.5 months, we found no inguinal hernia in any of the patients. A larger volume study with longer follow up is needed to confirm that there is no need for closure of the internal inguinal ring during laparoscopic orchidopexy.
Authors:
Mario Riquelme; Arturo Aranda; Carlos Rodriguez; Julio Cortinas; Gerardo Carmona; Mario Riquelme-Q
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Publication Detail:
Type:  Journal Article     Date:  2007-02-08
Journal Detail:
Title:  Pediatric surgery international     Volume:  23     ISSN:  0179-0358     ISO Abbreviation:  Pediatr. Surg. Int.     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-03-22     Completed Date:  2007-05-31     Revised Date:  2007-10-04    
Medline Journal Info:
Nlm Unique ID:  8609169     Medline TA:  Pediatr Surg Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  301-4     Citation Subset:  IM    
Affiliation:
General Surgery, Pediatric Surgery Department, Christus Muguerza Hospital, Centro Medico Conchita C1-4 and San Jose Hospital, Monterrey, NL 64060, Mexico. cima_riquelme@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
Cryptorchidism / complications,  diagnosis,  surgery*
Follow-Up Studies
Hernia, Inguinal* / complications,  epidemiology,  surgery
Humans
Incidence
Infant
Intraoperative Period
Laparoscopy*
Male
Palpation
Retrospective Studies
Treatment Outcome
Urologic Surgical Procedures / methods*
Comments/Corrections
Comment In:
Pediatr Surg Int. 2007 Aug;23(8):825   [PMID:  17576573 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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