Single Stage Laparoscopic Assisted Orchidopexy in Children
Muhammad Amir Hanif Khan, Iram Uzma Khalid, Rafiq Ahmad Kamran, Mutee Ullah Majid
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ABSTRACT
Aim: To determine the outcome in single stage vessel sparing,
laparoscopic assisted orchidopexy in children.
Study design:
Prospective Cross sectional study.
Place and
duration of study: Department
of Paediatric Surgery, Nishtar Medical University, Multan. The duration of
study wasJanuary 2018 to June 2019.
Methods: In this study boys with age between 2-10 years having
undescended testes assessed on clinical examination and confirmed on ultrasonography
were included. Then these cases underwent single stage laparoscopic orchidopexy
and testiswas brought to the scrotum and fixed there. Follow up was done up to
three months and atrophy, ascent and/or stayed in place, were noted.
Results:In this study there were total 22 cases with 25
undescended testes. The mean age was 5.87±2.32 years and mean weight was19.25±6.20
kg. There were 13 (59.1%) cases with right sided undescended testis, 6(27.3%)
cases with left sided undescended testis and 3 (13.6%) cases had bilateral
undescended testes. Efficacy of single stage orchidopexy was noted in 19 (86.36%)
of the cases.
Conclusion: Single stage vessel sparing orchidopexy is an effective treatment
option in cases of intra- abdominal undescended testis.
Keywords: Undescended testes, Orchidopexy, Single stage,
laparoscopic, Children