Our Experiences of Laparoscopy in the Non-palpable Testes
Özet
Aim: To demonstrate the superiority of laparoscopic undescended testicular surgery
for non-palpable testicles in children in diagnosis and treatment.
Methods: The files of patients between the age of 6 months and 18 years who
underwent laparoscopic undescended testis investigation due to non-palpable
testis in our clinic, between January 2010 and September 2021, were reviewed
retrospectively. Patients with palpable testicles and patients with disorders of
sex development in the examination performed under general anaesthesia were
excluded from the study.
Results: Fifty-three patients were included in the study. The mean age of the patients
is 3.2 years (min: 8 months-max 17 years). Laparoscopic intervention was performed
for a total of 59 non-palpable testicles which were left-sided in 54.7% (n=29) of the
patients, right-sided in 34% (n=18), and bilateral in 11.3% (n=6). Throughout these
59 testicles, cords and vessels of 31 testicles were visualized entering the inguinal
canal, atrophic testes in the abdomen were detected in 7 patients, the cord and
vessels had an intraabdominal blind ending (vanishing testis) in 7 patients, and 14
testicles were in the abdomen with normal aspect.
Conclusion: Simultaneous laparoscopic orchiectomy is performed in case of atrophic
testis in laparoscopic exploration for non-palpable testicles. It allows the ligation of
vessels of testes farther than 2 cm away from the inguinal canal, and for testes that
are closer than 2 cm it grants the vessels to be released under a more precise vision
thereby protecting from the complications of conventional surgery
Kaynak
Acta Medica AlanyaCilt
6Sayı
2Bağlantı
https://dergipark.org.tr/tr/download/article-file/2207198https://hdl.handle.net/20.500.12868/1764