Abstract

Objective: To compare mean operative time with and without sac ligation and incidence of post-operative hernia in pediatric patients with palpable testes undergoing orchidopexy.

Study design: Prospective Comparative study

Duration and place of study: Pediatric surgery department Children’s Hospital and Institute of Child Health Lahore, Khairpur Medical College Civil Hospital Khairpur and Ghulam Muhammad Mahar Medical College Civil Hospital Sukkur from January 2015 to July 2020.

Methodology: A total of hundred patients were selected for this study and were divided in two equal groups. Group I included cases in which orchidopexy was carried out without dissection and ligation of peritoneal sac, while group II included patients in which sac ligation was performed. Mean operative time was recorded for each case. Post-operative follow ups were carried out at one, four, eight and twelve weeks. Patients were examined for post-operative hernia at each follow up and results were noted.

Results: The mean age of the patients was observed as 4.05±1.73 years. The study results showed that 60 (60%) patients had left incompletely descended palpable testes whereas 40 (40%) patients had right UDT. The study results showed that the mean operative time of the patients was noted as 22±7.11 minutes. The mean operative time of the patients from no sac ligation group was 21.25±0.90 minutes whereas in ligation group 33.10±1.10 minutes. Statically, two groups showed a highly significant difference with p-value 0.001. Post-operative hernia was not seen in any of the patients from either group.

Conclusion: It was concluded in our study thatorchidopexy without sac ligation consumes less operative time and carries no risk of post-operative hernia.

Keywords: Cryptorchidism, Operative time, Post-operative hernia, Sac ligation Undescended testicle.