Abdulrahman Almaawi, Zakaullah Waqasi.
Laparoscopic orchidopexy: our experience.
Pak J Surg Jan ;28(1):03-5.

Objective: To evaluate the role of laparoscopc surgery for the treatment of undescended testes. Design: It is a retrospective descriptive study. Sett ing and Duration: Th is study was carried out at Department of Paediatric Surgery, King Abdullah Hospital, Bisha, Kingdom of Saudi Arabia from January 2009 till December 2011. Methodology: All patients of the ages 7 months to 8 years who underwent laparoscopic operation for undescended testes during the period January 2009 till December 2011 were included in this study. Results: 81 children (100 impalpable testes) were treated with laparoscopic orchidopexy from January 2009 to December 2011. Out of these patients, 40(49%) had impalpable testes on the right, 22( 27%) were on the left and 19( 23%) were bilateral. Th e median age was 13 months (range 7 months to 8 years) and mean follow up 12 months. We performed standard laparoscopic orchidopexy in 64 cases, one stage Fowler-Stephens in 10 cases, and two stage Fowler- Stephens in 26 cases. During follow up, examination of the testicular position showed that all scrotal (59 low scrotal, 27 mid-scrotal and 14 high scrotal in position). In our study, only one testis got atrophied; this patients had a history of previous exploration at another hospital. Not a single case of hernia noted at one year follow up. In our study 99 testes were followed up and found viable at one year follow up. Conclusion: Laparoscopic orchidopexy is very successful procedure even for high impalpable testes. Th e incidence of inguinal hernias almost zero using the inguinal canal to deliver the testes but the surgeon has to be trained for that.

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