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Year : 2000  |  Volume : 17  |  Issue : 1  |  Page : 13-15

Role of laparoscopy in the management of impalpable testis

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
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Source of Support: None, Conflict of Interest: None

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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.

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