| ORIGINAL ARTICLE |
|
| Year : 2000 | Volume
: 17
| Issue : 1 | Page : 13-15 |
|
|
Role of laparoscopy in the management of impalpable testis
SK Chowdhary, RK Chaudhury, PP Singh, Y Paljor, SC Joseph
Department of Paediatric Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh and St. Stephens Hospital, Delhi, India
Correspondence Address:
S K Chowdhary
Assistant Professor in Pediatric Surgery, Advanced Pediatric Centre, PGIMER, Chandigarh - 160 012
India
 Source of Support: None, Conflict of Interest: None  | Check |
|
|
|
Aim: A study to evaluate the safety and efficacy of laparoscopy using conventional laparoscopy equipment in children presenting with impalpable testis.
Patients and Methods: Prospective study to include all boys referred with impalpable testis between 2 yrs-12 yrs. Examination under sedation (Chloral hydrate 50-75 mg/ kg oral) by a consultant pediatric surgeon. Period of study included all consecutive boys referred between October 97-October 98. A database was created to enter clinical details, imaging studies, laparoscopic findings, surgery and outcome.
Results: 13 consecutive boys included in the study with 15 impalpable testes. 2 testes could not be located on laparoscopy. 6 testes were located on laparoscopy, 4 near the internal ring and 1 each at the bifurcation of iliac vessels and paravesical region. All 6 underwentfirst-stage Fowler Stephens orchidopexy followed by second-stage in 5 of them. The other 7 underwent conventional orchidopexy for canalicular testes.
Conclusions: Laparoscopy is a safe and effective method of evaluating and treating a child with impalpable testis. Conventional adult equipment used in trained hands is safe for use in normal children older than 2 years. |
|
|
|
| [FULL TEXT] [PDF Not available]* |
|
 |
|
