Modified Traction Technique for Intraabdominal Testes With Short Vessels
Affiliations
Affiliations
- Pediatric Surgery department, Sheikh Khalifa Medical City, Abu Dhabi, UAE.
- Pediatric Urology Unit, Ibn Sina Hospital, Kuwait.
- Pediatric Surgery department, Sheikh Khalifa Medical City, Abu Dhabi, UAE; Pediatric Surgery Department, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.
- Pediatric Surgery department, Sheikh Khalifa Medical City, Abu Dhabi, UAE; Pediatric Surgery Department, Faculty of Medicine, Ain-Shams University, Cairo, Egypt. Electronic address: ahmedhaseb@gmail.com.
Abstract
Objective: To assess the safety and efficacy of modified testicular traction technique in treatment of intraabdominal and peeping testes with short vessels.
Patients and methods: In the pediatric surgery unit, Sheikh Khalifa Medical City, Abu Dhabi, UAE, and in the pediatric urology unit, Ibn Sina Hospital, Kuwait, Forty testes in 32 patients were operated using the modification of staged traction laparoscopic-orchiopexy. The modified technique involved intracorporeal placement of suture, gabernacular sparing, no intraabdominal dissection and shorter traction duration as short as 7 days without the need of inguinal incision.
Results: All patients tolerated both stages of surgery well without any intra-operative nor post-operative complications. The 1 year follow up period proved successful outcome in all the cases.
Conclusion: The modified staged traction laparoscopic orchiopexy is safe, successful and feasible in intra-abdominal and peeping testes.
Similar articles
Staged laparoscopic traction orchiopexy for intra-abdominal testis: Is it always feasible?
Elsherbeny M, Abdallah A, Abouzeid A, Ghanem W, Zaki A.J Pediatr Urol. 2018 Jun;14(3):267.e1-267.e4. doi: 10.1016/j.jpurol.2018.01.021. Epub 2018 Mar 2.PMID: 29567012
Early Clinical Outcome of Staged Laparoscopic Traction Orchidopexy for Abdominal Testes.
Abouheba MAS, Younis W, Elsokary A, Roshdy W, Waheeb S.J Laparoendosc Adv Surg Tech A. 2019 Apr;29(4):531-537. doi: 10.1089/lap.2018.0171. Epub 2019 Feb 26.PMID: 30807243
Shehata S, Shalaby R, Ismail M, Abouheba M, Elrouby A.J Pediatr Surg. 2016 Feb;51(2):211-5. doi: 10.1016/j.jpedsurg.2015.10.063. Epub 2015 Nov 4.PMID: 26655212 Clinical Trial.
Surgical Management of the Undescended Testis: Recent Advances and Controversies.
Elder JS.Eur J Pediatr Surg. 2016 Oct;26(5):418-426. doi: 10.1055/s-0036-1592197. Epub 2016 Sep 15.PMID: 27631723 Review.
Igarashi A, Kikuchi K, Ogushi K, Hasegawa M, Hatanaka M, Fujino J, Kishi Y, Ikeda H.J Pediatr Surg. 2018 Sep;53(9):1766-1769. doi: 10.1016/j.jpedsurg.2017.10.046. Epub 2017 Oct 16.PMID: 29132799 Review.
Cited by
Bašković M, Zaninović L, Sansović I, Meašić AM, Katušić Bojanac A, Ježek D.World J Pediatr Surg. 2022 Oct 31;5(4):e000461. doi: 10.1136/wjps-2022-000461. eCollection 2022.PMID: 36474738 Free PMC article.
In Which Patients and Why Is Laparoscopy Helpful for the Impalpable Testis?
Papparella A, Umano GR, Romano M, Delehaye G, Cascone S, Trotta L, Noviello C.Minim Invasive Surg. 2022 Sep 30;2022:1564830. doi: 10.1155/2022/1564830. eCollection 2022.PMID: 36249585 Free PMC article.