| Totally Laparoscopic Approach for Failed Conventional Orchiopexy. | |
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MedLine Citation:
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PMID: 22540525 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Abstract Introduction: About 0.2-10% of patients with prior orchiopexy will require reoperation for recurrent cryptorchidism. The most common approach for these patients has been an open inguinal repeat orchiopexy. The aim of this report is to show results and feasibility with the totally laparoscopic approach for failed prior open orchiopexy. Subjects and Methods: Nine patients with 11 recurrent undescended testes were treated by the totally laparoscopic orchiopexy approach. We used a four-port technique, starting with laparoscopic dissection of the vas deferens and spermatic vessels as high as possible in order to get adequate length of these structures. The inguinal internal ring was opened, and the testis was dissected to finally bring it into the abdominal cavity. A transcrotal trocar was introduced all the way to the abdominal cavity to finally pull through the testis into the scrotum. Results: Laparoscopic orchiopexy was performed satisfactorily in all but 1 case in a mean time of 90 minutes. We did not experience any perioperative complications. In a mean follow-up of 25 months there has not been any recurrent cryptorchidism or atrophic testis. Discussion: Laparoscopy offers the advantage of achieving an extensive mobilization of spermatic vessels and a careful dissection of the vas deferens. The totally laparoscopic approach for a failed orchiopexy represents a feasible, safe, and successful procedure. |
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Authors:
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Mario Riquelme; Arturo Aranda; Mario Rodarte-Shade; Jaime Rodriguez-Gomez; Jairo Torres-Riquelme |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-4-27 |
Journal Detail:
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Title: Journal of laparoendoscopic & advanced surgical techniques. Part A Volume: - ISSN: 1557-9034 ISO Abbreviation: - Publication Date: 2012 Apr |
Date Detail:
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Created Date: 2012-4-30 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9706293 Medline TA: J Laparoendosc Adv Surg Tech A Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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1 Department of Pediatric Surgery, Christus Muguerza Hospital , Monterrey, Nuevo Leon, Mexico . |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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