| Autor: |
A.C. Gulanikar, P.A.M. Anderson, R.D. Schwarz, M. Giacomantonio |
| Rok vydání: |
1996 |
| Předmět: |
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| Zdroj: |
British Journal of Urology. 77:455-457 |
| ISSN: |
0007-1331 |
| DOI: |
10.1046/j.1464-410x.1996.91225.x |
| Popis: |
Objective To evaluate the impact of laparoscopy on the management of children with a unilateral impalpable testis. Patients and methods The study population consisted of 27 children who underwent a primary inguinal exploration for a unilateral impalpable testis. Results Twelve of 27 (44%) children had inguinal or 'peeping' testes and 10 of 27 (37%) had blind-ending vasa and vessels in the inguinal canal : four of these 10 had atrophic tubular tissue in the excised remant. Four of 27 (15%) had blind-ending vasa and vessels proximal to the internal ring. Only one child had a testis proximal to the internal ring. Only the four children (15%) with blind-ending vasa and vessels proximal to the internal ring would have benefited from a laparoscopy by avoiding an inguinal exploration. Conclusions Because of the time, expense and limited usefulness of laparoscopy in altering the management of children with a unilateral unpalpable testis, we reserve laparoscopy for cases where inguinal exploration has failed. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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