Role of laparoscopy in the management of impalpable testes

El-Gohary, Mohammed A.

doi:10.4103/0971-9261.29602

Cited by 7 publications

(10 citation statements)

References 13 publications

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“…It has become established as the most reliable diagnostic modality for the management of impalpable testes. (9) It provides clear demonstration for the anatomy, the location, and the size of the testes with their blood supply.…”

Section: Discussionmentioning

confidence: 99%

“…The proportion of impalpable testis has been reported to vary from 8.3 % to 20% of all cryptorchid boys. (1,(6)(7)(8)(9) A variety of imaging modalities have been used to detect the impalpable testis, these include ultrasound, computed tomography and magnetic resonance imaging, as well as more invasive procedures such as arteriography and venography. None are as sensitive as laparoscopy for accurate localization of the intra abdominal testes.…”

Section: ‫اﻟﺨﻼﺻﺔ‬mentioning

confidence: 99%

“…None are as sensitive as laparoscopy for accurate localization of the intra abdominal testes. (3,6,(8)(9)(10) Laparoscopy has been compared with the previous methods and has become the study of choice in most centers. (11,12) To mobilize an intra abdominal testis, different techniques has been used, including two stage orchiopexy, (13) micro vascular transfer of testes (microscopic anastamosis between main testicular vessels and inferior epigastric vessels) (2,14,15) or Fowler-Stephen orchiopexy, one stage or two stage (high ligation or clipping of testicular vessels, followed by division 4-6 months later).…”

Section: ‫اﻟﺨﻼﺻﺔ‬mentioning

confidence: 99%

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Laparoscopic management of impalpable testes in pediatric age group

Alani¹,

Abbassi²

2012

Ann Coll Med Mosul

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Aim of the study: The purposes of our study are to evaluate the role of laparoscopy in localizing impalpable testes and the management strategy for both unilateral and bilateral impalpable testes. Patients and methods: Throughout the period between January 2005 to December 2008, 36 patients with impalpable testes were admitted to pediatric surgery centre at Al-Khanssa Teaching Hospital in Mosul, Laparoscopy done for them to assess and manage 42 impalpable testes. In all patients 10 mm canula port was inserted in surpaumbilical position using an open technique, a single 5 mm port was occasionally required in contralateral iliac fosse to manipulate bowel and testes. A further port was used for laparoscopic clipping and division of the testicular vessels. These performed as the first part of the one or two stages Fowler-Stephen orchiopexy (high division of testicular vessels), and all patients has been followed for period of about two years. Results: Twenty seven testes found to be positive, ten of them near the internal inguinal ring and nine in the iliac fossae, while two testes where found intra canalicular. Fifteen testes were absent with closed ring, 12 of them showed vas and vessels enter the internal ring (vanished testes), while three with no vas and vessels entering the ring (agenesis). Assisted laparoscopic orchiopexy using sub dartous pouch was successfully done in 16 testes. Single stage Fowler-Stephen technique was adopted in four testes. Two stages for another two testes, in one patient, fixation done near upper scrotum which was then re fixed by second operation few months later. Conclusion: Laparoscopy is a safe and reliable technique in diagnosing the presence or absence of impalpable testes, provides a valuable information about the associated anomalies and condition of the internal ring, it can direct the surgeon to chose the proper technique for orchiopexy, with no mortality and very low morbidity.

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Section: Discussionmentioning

confidence: 99%

Section: ‫اﻟﺨﻼﺻﺔ‬mentioning

confidence: 99%

Section: ‫اﻟﺨﻼﺻﺔ‬mentioning

confidence: 99%

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Laparoscopic management of impalpable testes in pediatric age group

Alani¹,

Abbassi²

2012

Ann Coll Med Mosul

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“…Nothing contraindicates intervention for undescended testis in prepubertal boys. 9,10 In a study by McManus et al, 11 Laparoscopic Varicocelectomy [LVL] resulted in shorter operative times and fewer negative outcomes like persistent or recurrent varicoceles. 8.…”

Section: Inclusion Criteriamentioning

confidence: 99%

Study of Advanced Laparoscopy Beyond Cholecystectomy

S¹,

T²

2018

jemds

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BACKGROUND Laparoscopic cholecystectomy revolutionised biliary surgery and has become the index operation. This study attempts to evaluate the types of advanced laparoscopic surgeries being performed, their efficacy and suitability at this institution. MATERIALS AND METHODS This study is carried out at our tertiary care institute over a span of 2 years. Patients undergoing advanced laparoscopic procedures on elective basis were studied. Procedures considered for purpose of study were: Adhesiolysis, Laparoscopic Colorectal procedures, Diagnostic Laparoscopy (with omental biopsy), Orchidectomy, Mesh Repair, TAPP and TEPP. RESULTS The highest number of patients belonged to the productive age group (21-50 years) consisting of 79% of total patients. The procedure performed most commonly was Laparoscopic Adhesiolysis (29.5%). CONCLUSION The overall outcome was satisfactory with an early discharge and early return to normal activities.

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“…(El Gohary, 1997;Smolko 1983) Visualizing of well developed spermatic vessels predicts the presence of a good-sized testis whereas poor blood supply is invariably associated with poorly developed or atrophied testes (fig 7,8 Obese boys with UDT are difficult to examine even under GA. Those group of patient may benefit from an initial ultrasonography and groin exploration before embarking upon diagnostic laparoscopy. These children represent the majority of our patient subjected to diagnostic laparoscopy with the finding of good testicular vessels leading to a good size testes outside abdominal cavity during groin exploration…”

Section: The Testicular Vessels As a Landmark For Testismentioning

confidence: 99%

Absent or Non Descent of the Testis

Gohary¹

2011

Advanced Laparoscopy

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Role of laparoscopy in the management of impalpable testes

Cited by 7 publications

References 13 publications

Laparoscopic management of impalpable testes in pediatric age group

Laparoscopic management of impalpable testes in pediatric age group

Study of Advanced Laparoscopy Beyond Cholecystectomy

Absent or Non Descent of the Testis

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