Safety and Efficacy of Laparoscopic Management of Intracanalicular Testes in Pediatrics

Daboos, Mohammad; Mahmoud, Muhammad Abdelhafez; Gouda, Samir; Salama, Ahmed E.; Akl, Mabrouk; Mahfouz, Mahmoud; Mohammed, Y

doi:10.1089/lap.2021.0415

Cited by 3 publications

(6 citation statements)

References 18 publications

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“…High intra-abdominal UDT can be treated with one-stage or two-stage laparoscopic Fowler-Stephens orchiopexy or staged laparoscopic traction orchidopexy (Shehata technique). For low intra-abdominal and intracanalicular testes, many studies suggest that primary laparoscopic orchiopexy can be used ( 3 , 15 , 18 , 19 ). In August 2019, our center started using LOMPM for NPT close to the internal ring, and then we compared the surgical outcomes with the historical cohort.…”

Section: Discussionmentioning

confidence: 99%

“…This approach effectively saves surgery time and reduces the learning curve for surgery. Numerous studies have shown that simply transecting the processus vaginalis does not increase the risk of postoperative inguinal hernia or hydrocele ( 3 , 25 ). Early animal experiments have shown that the healing process of peritoneal defects is different from that of the skin ( 26 ).…”

Section: Discussionmentioning

confidence: 99%

“…However, there is still controversy over when to use primary laparoscopic orchiopexy ( 4 ). It has been reported that when the testis can reach the contralateral internal ring, primary laparoscopic orchiopexy can be used ( 3 , 5 , 6 , 16 ). Bagga et al ( 27 ) confirmed that this was one of the statistically significant factors for predicting primary laparoscopic orchiopexy achievable.…”

Section: Discussionmentioning

confidence: 99%

“…Orchidopexy is the main method for the treatment of UDT. For non-palpable testis (NPT), traditional inguinal incision surgery is blind, and the difficulty of exposure leads to limited length of free spermatic cord, and the position of testis descending is usually unsatisfactory ( 3 – 6 ). In 1955, Prentiss et al ( 7 ) first proposed two anatomical concepts, the spermatic surgical triangles and the lateral spermatic ligament, and applied them to orchidopexy.…”

Section: Introductionmentioning

confidence: 99%

“…In recent years, laparoscopy has become the standard procedure for the diagnosis and treatment of NPT ( 2 , 6 ). Laparoscopy can not only determine the location and size of the testis, but also maximize the mobilization of the spermatic cord in the abdominal cavity ( 3 , 10 ). At the same time, the laparoscopic technique can directly establish the abdominal cavity-scrotal channel, so that the modified Prentiss maneuver has been widely used.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Efficacy of Laparoscopic Orchiopexy With the Modified Prentiss Maneuver for Non-palpable Testis Near the Internal Ring

Tong

Wang

et al. 2022

Front. Pediatr.

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ObjectiveTo compare the clinical efficacy and safety of laparoscopic orchiopexy with the modified Prentiss maneuver (LOMPM) and laparoscopic trans-inguinal orchiopexy (LTIO) for the treatment of non-palpable testis (NPT) <1 cm from the internal ring.MethodsChildren with unilateral NPT who underwent laparoscopic orchiopexy at our center between February 2018 and January 2021 were retrospectively analyzed. According to the surgical method, they were divided into LOMPM and LTIO groups. The operation time, postoperative pain degree, postoperative complications and follow-up results were compared between the two groups.ResultsA total of 98 patients were included in this study, including 41 cases in the LOMPM group and 57 cases in the LTIO group. All patients underwent successful surgery. The LOMPM group was superior to the LTIO group in terms of postoperative testicular position (lower scrotm: 90.2 vs. 71.9%, P = 0.026). There were no significant differences in operation time, postoperative pain score, and complications between the two groups. Preoperative testicular volume, postoperative testicular volume, and testicular growth rate in the LOMPM group were comparable to those in the LTIO group. There were no testicular atrophy, inguinal hernia and hydrocele in both groups after operation.ConclusionsLOMPM was comparable in safety to LTIO, but LOMPM had a good post-operative testicular position, and was suitable for the treatment of NPT near the internal ring.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Clinical Efficacy of Laparoscopic Orchiopexy With the Modified Prentiss Maneuver for Non-palpable Testis Near the Internal Ring

Tong

Wang

et al. 2022

Front. Pediatr.

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Laparoscopic versus open orchiopexy in high inguinal undescended testes, randomized clinical trial

AbdelRazek,

Mohammed,

Mahmoud

et al. 2024

Int Urol Nephrol

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Laparoscopic access in the treatment of palpable cryptorchidism (review)

Isroilov,

Akramov,

Sizonov

et al. 2024

Russian Journal of Pediatric Surgery

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The standard approaches in the treatment of palpable cryptorchidism are transinguinal and transscrotal, which allows achieving a high success bring the testis down to the bottom of the scrotum. However, variants of high retention of palpable cryptorchidism, in which the use of a standard set of surgical techniques for orchidofuniculolysis does not provide free descent of the testis into the scrotum without tension of the spermatic cord. The described clinical variants prompted scientists to look for alternative approaches that allow high mobilization of testicular vessels to fix the testicle in the scrotum without tension of the spermatic cord. The analysis of literature using the database eLibrary, PubMed, Scopus, CyberLeninka, RSCI, published before 1.05.2023. The search was performed by keywords: "inguinal cryptorchidism", "palpable cryptorchidism", "children", "laparoscopy". This literature review presents the results of the use of laparoscopic access in the treatment of children with palpable cryptorchidism, reflects the advantages and disadvantages of using minimally invasive surgery. Currently, there are no national clinical guidelines mentioning the possibility of using laparoscopic access in the treatment of palpable forms of cryptorchidism, however, the number of publications that have appeared in recent years on the results of using access in the treatment of palpable cryptorchidism suggests that in the foreseeable future laparoscopy will be offered for use as an effective and safe alternative to traditional transinguinal and transscrotal access or in addition to them.

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Safety and Efficacy of Laparoscopic Management of Intracanalicular Testes in Pediatrics

Cited by 3 publications

References 18 publications

Clinical Efficacy of Laparoscopic Orchiopexy With the Modified Prentiss Maneuver for Non-palpable Testis Near the Internal Ring

Clinical Efficacy of Laparoscopic Orchiopexy With the Modified Prentiss Maneuver for Non-palpable Testis Near the Internal Ring

Laparoscopic versus open orchiopexy in high inguinal undescended testes, randomized clinical trial

Laparoscopic access in the treatment of palpable cryptorchidism (review)

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