Surgical exploration for impalpable testis: Which should be first, inguinal exploration or laparoscopic abdominal exploration?

Igarashi, A.; Kikuchi, Kenta; Ogushi, Kenjiro; Hasegawa, Masatoshi; Hatanaka, Masahiro; Fujino, Junko; Kishi, Yoshiki; Ikeda, Hitoshi

doi:10.1016/j.jpedsurg.2017.10.046

Cited by 11 publications

(9 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of the patients, 51.1% had NPT on the left side, 28.8% on the right, and 20% had bilateral NPT. Detection of non-palpable testis mostly on the left and the frequency of bilateral NPT were consistent with the literature [9,10,11,12].…”

Section: Discussionsupporting

confidence: 91%

“…The median age of diagnosis of the patients was 12 (2-144) months, and the median age of surgery 24 (6-156) months. Although the median age at diagnosis was consistent with previous publications, the median age at surgery was found to be higher [9,10]. Of the patients, 51.1% had NPT on the left side, 28.8% on the right, and 20% had bilateral NPT.…”

Section: Discussionsupporting

confidence: 89%

“…In all our patients, laparoscopic abdominal exploration was performed first when the testis was not palpable under anesthesia. Intra-abdominal testis frequency in NPT patients has been defined as 40-61% in some studies [9,12,14,15]. In our study, 25 (46.2%) of the 54 NPTs were found to have testis in the abdomen.…”

Section: Discussionsupporting

confidence: 51%

“…There are different opinions about starting the primary surgical approach with inguinal/ scrotal exploration or laparoscopic exploration of the abdomen in NPTs [7]. Igarashi et al reported that the testis was found and descended into the scrotum by inguinal exploration in 39% of 72 patients with NPT in the operations they started with inguinal exploration, and they recommended that laparoscopy be done after the inguinal approach [9]. Callewaert et al reported that the testes could be made to descend into the scrotum with the high scrotal Bianchi incision in 78% of 46 NPTs [7].…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Üçüncü basamak bir çocuk cerrahisi merkezinde çocuklarda palpe edilemeyen testislerin laparoskopik tedavisinin klinik sonuçları

et al. 2021

View full text Add to dashboard Cite

Amaç: Palpe edilemeyen testis, erkek bir hastada testisin inguinal kanal ve skrotum içerisinde bulunmaması şeklinde tanımlanır. Hastada infertilite ve testiste malign transformasyon gelişim riskini engellemek için palpe edilemeyen testisin yerleşimi ve durumunun tanımlanması önemlidir. Amacımız, palpe edilemeyen testis tanılı çocuk hastalarda tedavide uyguladığımız laparoskopik yaklaşımın sonuçlarını değerlendirmekti. Yöntemler: Üçüncü basamak bir çocuk cerrahisi merkezinde palpe edilemeyen testis tanısı konulmuş ve laparoskopik yaklaşım ile tedavi edilmiş hastalar geriye dönük olarak incelendi. Hastaların özelliklerine göre tedavi protokolünde, laparoskopik abdominal eksplorasyon, iki aşamalı Fowler-Stephens laparoskopik orşiopeksi, primer laparoskopik orşiopeksi ve inguinal eksplorasyon uygulandı. Bulgular: Kırk beş çocuk hastadaki 54 testise ait veriler incelendi. Vakaların %46.2'sinde intra abdominal yerleşimli saptanan testislerin %88'i internal inguinal ring girişinde yerleşimliydi. Laparoskopik abdominal eksplorasyondan sonra testislerin 7 (%28)'sine iki aşamalı Fowler-Stephens, 18 (%72)'ine primer laparoskopik orşiopeksi uygulandı. Testis bulunamayan 27 (%50) vakaya inguinal eksplorasyon uygulandı. Skrotuma indirilen 23 testisin 17 (%73.9)'si normal iken, 6 (%26)'sında atrofi gelişti. Eksize edilen 27 inguinal nubbinde testis ait canlı hücreler saptanmadı. Sonuçlar: Palpe edilemeyen testisin tanı konulması ve tedavisinde laparaskopi güvenilir ve etkili bir yöntemdir. Abdomen içi testislerin yerleşim yeri, öncelikli cerrahi yaklaşım olarak inguinal eksplorasyonun düşünülmesini destekleyebilir.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 51%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Üçüncü basamak bir çocuk cerrahisi merkezinde çocuklarda palpe edilemeyen testislerin laparoskopik tedavisinin klinik sonuçları

et al. 2021

View full text Add to dashboard Cite

show abstract

“…However, some scholars hold different opinions. Igarashi et al ( 75 ) conducted a retrospective study on the surgical methods applied in the treatment of 72 cases of NPT in 68 patients. A traditional inguinal incision and laparoscopic exploration were applied in the treatment of 28 and 44 testicles, respectively; the operation was successfully completed using both methods.…”

Section: Treatment Of Cryptorchidismmentioning

confidence: 99%

Open controversies on the treatment of undescended testis: An update

et al. 2022

View full text Add to dashboard Cite

Cryptorchidism is a common congenital malformation in pediatric urology. Although there have been many studies on the etiology of the disease, it has not been fully clarified, and while its diagnostic and treatment models have gradually approached standardization and systematization, some controversies regarding treatment remain. Additionally, although ultrasound is a non-invasive examination without ionizing radiation, its role in the evaluation of cryptorchidism remains controversial. The main basis for treating cryptorchidism is orchidopexy, and the main view on treatment age is that treatment should be performed between 6 and 12 months after birth, but no more than 18 months after birth. The view on hormone therapy is still controversial because most scholars believe that early surgery is the key to treatment. There are many surgical treatment methods for cryptorchidism, including traditional open surgery and laparoscopic surgery, which provide satisfactory results. In conclusion, the treatment of undescended testis (UDT) had been largely standardized, apart from the treatment of high intra-abdominal testis (IAT), which remains a matter of debate.

show abstract

Cryptorchidism as an obscure cause of adhesive small bowel obstruction in an adult, a case report

Satoskar

Kashyap

Ziehm

et al. 2021

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

Introduction and importance Cryptorchidism is seen in 3% of fullterm neonates. Rarely, it may cause small bowel obstruction. Knowledge of this presentation of cryptorchidism is essential to treat bowel obstruction arising due to cryptorchidism before the patient suffers complications. Case presentation We present a case of a patient who underwent exploratory laparotomy for small bowel obstruction that did not resolve with conservative management. At laparotomy, on initial exploration, this patient had adhesive bands causing the small bowel obstruction. On further exploration, the bands were found to arise from a cryptorchid testis. Clinical discussion Cryptorchidism is a common finding among newborns and needs to be corrected by 1 year of age. Failure to correct cryptorchidism in a timely manner can result in complications such as bowel obstruction. Conclusion Thorough intraoperative exploration is key at operation for all cases of small bowel obstruction, so as to find and treat anatomic causes of obstruction. Congenital causes of bowel obstruction should be suspected in all unexplained cases of bowel obstruction and may be revealed by careful physical examination and thorough intraoperative exploration.

show abstract

Surgical exploration for impalpable testis: Which should be first, inguinal exploration or laparoscopic abdominal exploration?

Cited by 11 publications

References 23 publications

Üçüncü basamak bir çocuk cerrahisi merkezinde çocuklarda palpe edilemeyen testislerin laparoskopik tedavisinin klinik sonuçları

Üçüncü basamak bir çocuk cerrahisi merkezinde çocuklarda palpe edilemeyen testislerin laparoskopik tedavisinin klinik sonuçları

Open controversies on the treatment of undescended testis: An update

Cryptorchidism as an obscure cause of adhesive small bowel obstruction in an adult, a case report

Contact Info

Product

Resources

About