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2015 ; 12
(1
): 61-5
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Orchiopexy through a single high transverse scrotal incision
#MMPMID25659553
Khirallah MG
; Elafifi MA
; Elbatarny AM
; Elsharaby AM
Afr J Paediatr Surg
2015[Jan]; 12
(1
): 61-5
PMID25659553
show ga
BACKGROUND: Palpable Undescended Testis (PUT) represents a common paediatric
problem in many premature and some mature infants. There are several surgical
techniques to correct PUT either through combined inguinal and scrotal incision
or single transverse scrotal incision. This study assessed single high transverse
scrotal incision for the management of PUT as regards to feasibility,
postoperative success and final cosmetic results. MATERIALS AND METHODS: One
hundred twenty patients were managed at the Paediatric Surgery Department of
Tanta University Hospital with PUT during the period from March 2010 to March
2014. They were all operated at the age of 6-12 months. We excluded recurrent
cases, and cases older than 12 months. Through high transverse scrotal incision,
the layers were divided, and the canal entered through the external ring,
dissecting the PUT and bringing it through the incision. Hernia sac, if present,
was ligated at the neck. Creation of the dartos pouch was then made through the
same incision. All infants were followed-up at 1 month, 2 months and 6 months to
detect any re-ascended cases, testicular atrophy and the final cosmetic
appearance. RESULTS: A total of 140 PUTs were operated upon in 120 patients. PUT
was bilateral in 20 patients, right-sided in 65 cases and left-sided in 35 cases.
Thirty testes were located at the external ring; the others were located within
the inguinal canal. No cases needed a redo operation, and there was no case of
postoperative testicular atrophy. CONCLUSION: Single high transverse incision was
sufficient to deal with PUT especially, in young infants (age 6 months) with no
need for conversion in most cases to the traditional two incisions technique, and
good long term follow-up and a better cosmetic results.
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