Orchidopexy san ligation technique of orchidopexy

Jain, Vishal; Singh, Sangram; Garge, Saurabh; Joshi, Medha; Sanghvi, Jyoti

doi:10.4103/0189-6725.79073

Cited by 11 publications

(13 citation statements)

References 7 publications

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“…In a followup period of 1 year, no recurrences requiring intervention occurred in either of the two groups. In a prospective study, the authors evaluated 450 cases where orchidopexy was performed without sac ligation, and they found that nonligation has no untoward effect on early complications and the recurrence rate during long-term follow-up [17]. Another prospective study compared the outcomes of open hernia repair between sac ligation (91 cases) and nonligation (30 cases) groups, no recurrence and complications that require intervention was reported [18].…”

Section: Discussionmentioning

confidence: 92%

Sac ligation in inguinal hernia repair: A meta-analysis of randomized controlled trials

Kao

Lin

et al. 2015

International Journal of Surgery

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Section: Discussionmentioning

confidence: 92%

Sac ligation in inguinal hernia repair: A meta-analysis of randomized controlled trials

Kao

Lin

et al. 2015

International Journal of Surgery

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“…Jain et al4 evaluated 450 cases of orchiopexy in male patients from 6 months to 10 years of age. None of them had demonstrable hernias.…”

Section: Discussionmentioning

confidence: 99%

“…No patients developed inguinal hernias in the follow-up period. However, they selected patients in whom the testes were palpable 4. Mohta et al suggested not ligating the sac in pediatric inguinal hernia repair 5.…”

Section: Discussionmentioning

confidence: 99%

“…Data on the prevalence of patent processus vaginalis (PPV) and hernia in patients with cryptorchidism are controversial 3. While some pediatric surgeons do not dissect the processus vaginalis (PV), most prefer to do so to prevent hernia formation and to achieve an effective orchiopexy outcome 4,5. The aim of the present study was to evaluate the importance of dissection of the PV from the spermatic cord and vessels during correction procedures for UT at the internal ring level or in an intra-abdominal location.…”

Section: Introductionmentioning

confidence: 99%

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For Better Orchiopexy, Processus Vaginalis Should Be Dissected and a High Ligation Should Be Performed

Sönmez

Karabulut

Türkyılmaz

et al. 2016

Rambam Maimonides Med J

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ObjectiveData on the prevalence of patent processus vaginalis (PPV) and hernia in patients with cryptorchidism are controversial. While some pediatric surgeons do not dissect the processus vaginalis (PV), most prefer to do so to prevent hernia formation and to achieve an effective orchiopexy outcome. This study was performed to evaluate the importance of dissection and high ligation of the PV during treatment of undescended testis (UT).MethodsThe clinical findings and surgical procedures of 55 patients with UT were retrospectively investigated.ResultsThe mean patient age was 2.5 (range 1.0–12.0) years. Non-palpable testis (NPT) was located on the right and left side in 39 and 16 patients, respectively. Ultrasonography revealed no testis in 10 patients and an atrophic testis in 7 patients. Seven patients had a parent with an inguinal hernia, and the silk sign or a PPV was detected during inguinoscrotal examination in 22 patients. Undescended testis repair was performed by an inguinal approach in all patients. The inguinal canal was opened in all patients; 42 patients had a wider-than-normal internal ring (>2.5 cm), and the posterior wall of the inguinal canal was consequently weakened. Two-stage orchiopexy was performed in 2 patients, and 15 underwent the Prentiss maneuver. In the remaining patients, the dissection was easily done, and the orchiopexy was performed without any difficulty. Scrotal edema and wound infection occurred in five and two patients, respectively. One patient presented with an atrophic testis, and three had recurrent UT. Inguinal hernia was not observed in any of the patients during the study period, and all procedures were performed on an outpatient basis.ConclusionHigh ligation of the PV is an effective method for successful orchiopexy and prevention of inguinal hernia in patients with NPT and UT.

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“…10 For preventing postoperative hernia, in the conventional as the standard technique, it is necessary to ligate the patent processus vaginalis (PPV) sac in the proximal part after being peeled off from other components of the spermatic cord; 7,8 this increases the risk of subsequent damage to the spermatic cord superfine vessels, vas deferens, and secondary testicular atrophy. [10][11][12] To prevent this problem, some studies have suggested that the proximal area should be left unligated after peeling the PPV sac off the cord. 1,12,13 However, this method may result in inguinal hernia in the first postoperative days when the PPV sac peritonealization is being completed.…”

Section: Introductionmentioning

confidence: 99%

<p>Comparison Between Processus Vaginalis Sac Tightening Technique and the Conventional Technique in Orchiopexy Surgery Over 10 Years</p>

Shirazi¹,

Safavi²,

Makarem³

et al. 2020

RRU

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Background: Undescended testis (UDT) is a common congenital urogenital anomaly that is treated by orchiopexy. We aimed to introduce patent processus vaginalis (PPV) sac tightening (PVST) technique and compare it to the conventional technique. Methods: We retrospectively studied all the operated UDT patients during 10 years. In the conventional technique, it was necessary to ligate PPV sac after being peeled off from the spermatic cord. PVST was dissected longitudinally from the two sides of where the PPV sac wall was attached to the spermatic cord till the proximal part, and only a narrow thin layer sticking to the spermatic cord was left and the proximal PVV sac opening was tightened as much as possible with vicryl suture at the internal inguinal ring level. The significance level was <0.05. Results: Of 821 orchiopexy (mean age 24.5±24.2 months), 36.3% were done by conventional and 63.7% by PVST technique. Hematoma, edema, hydrocele, and wound infection were lower in the PVST technique, but it was not significant (p>0.05). Testicular atrophy and operation time were significantly lower in the PVST than the conventional technique (p<0.001). Conclusion:The orchiopexy PVST technique has lower complications and seems to be easier, faster and safer than the conventional technique.

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Orchidopexy san ligation technique of orchidopexy

Cited by 11 publications

References 7 publications

Sac ligation in inguinal hernia repair: A meta-analysis of randomized controlled trials

Sac ligation in inguinal hernia repair: A meta-analysis of randomized controlled trials

For Better Orchiopexy, Processus Vaginalis Should Be Dissected and a High Ligation Should Be Performed

<p>Comparison Between Processus Vaginalis Sac Tightening Technique and the Conventional Technique in Orchiopexy Surgery Over 10 Years</p>

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