THE ROLE OF LAPAROSCOPY IN EVALUATION OF THE IMPALPABLE UNDESCENDED TESTIS
| Autor: | S. D. Mark, P. J. T. Davidson |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Male
Examination under anaesthetic medicine.medical_specialty Time Factors Adolescent Omental hernia Small testis Port site Prospective evaluation Cryptorchidism Humans Medicine Prospective Studies Child Laparoscopy Palpation Groin medicine.diagnostic_test business.industry Infant General Medicine Surgery Treatment Outcome medicine.anatomical_structure Ambulatory Surgical Procedures Child Preschool business |
| Zdroj: | ANZ Journal of Surgery. 67:332-334 |
| ISSN: | 1445-2197 1445-1433 |
| DOI: | 10.1111/j.1445-2197.1997.tb01984.x |
| Popis: | Background: The evaluation and management of the impalpable testis remains controversial. The authors' experience with laparoscopy for the treatment of this condition is reported here. Methods: All children with impalpable testes underwent an examination under anaesthetic and if negative, a laparoscopy was performed to locate the testis. A prospective evaluation was undertaken to determine the success and morbidity of this approach. Results: Thirty-six children (median age 2.5 years) underwent laparoscopy to localize 40 impalpable testes. In 32 patients with unilateral impalpable testis, 10 were intra-abdominal, nine were absent. In 13 patients, the vas and vessels entered the groin, and in 12 of these a small testis remnant was excised and in the other a normal-looking testis was brought down. In four patients with bilateral impalpable testes, one testis was absent, three testes were intra-abdominal and four were small testis remnants in the groin. The average laparoscopy time was 15 min, and 34 of 36 children were operated on as day-stay cases. One child had an omental hernia via a port site. Conclusion: Laparoscopy is safe and effective at localizing impalpable testes in children and can be performed as day-stay procedures in the majority of cases. |
| Databáze: | OpenAIRE |
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