Management of the Abdominal Undescended Testicle

作者: M. David Gibbons , William J. Cromie , John W. Duckett

DOI: 10.1016/S0022-5347(17)56263-1

关键词:

摘要: AbstractOf the orchiopexies performed for abdominal undescended testicles 85 per cent have resulted in satisfactory testicular growth and position. Three-fourths of these cases were boys with prune belly syndrome. We are satisfied our recent experience using Fowler-Stephens procedure to salvage intra-abdominal testicles. An analysis failures 5 testes early this series, resulting partial atrophy, has helped us avoid technical errors through attention following details: 1) preservation a broad pedicle peritoneum overlying mobilized vas, 2) avoidance any dissection spermatic cord 3) high ligation vessels well above point confluence vas vessels. Although some risk ischemia atrophy we believe it be preferred way gain mobility on short tethering gonadal vascular pedicle.

参考文章(16)
Michael Zer, Staged Orchiorrhaphy Archives of Surgery. ,vol. 110, pp. 387- 390 ,(1975) , 10.1001/ARCHSURG.1975.01360100029006
Scott J. Boley, Sylvain Kleinhaus, A place for the Cheatle-Henry approach in pediatric surgery? Journal of Pediatric Surgery. ,vol. 1, pp. 394- 397 ,(1966) , 10.1016/0022-3468(66)90343-5
J.J. Corkery, Staged orchiopexy—A new technique Journal of Pediatric Surgery. ,vol. 10, pp. 515- 518 ,(1975) , 10.1016/0022-3468(75)90194-3
R. Fowler, F. Douglas Stephens, The role of testicular vascular anatomy in the salvage of high undescended testes. Australian and New Zealand Journal of Surgery. ,vol. 29, pp. 92- 106 ,(1959) , 10.1111/J.1445-2197.1959.TB03826.X
ARTHUR DEAN BEVAN, OPERATION FOR UNDESCENDED TESTICLE AND CONGENITAL INGUINAL HERNIA. Journal of the American Medical Association. ,vol. XXXIII, pp. 773- 777 ,(1899) , 10.1001/JAMA.1899.92450650023001H
Hugh V. Firor, Two-Stage Orchiopexy Archives of Surgery. ,vol. 102, pp. 598- 599 ,(1971) , 10.1001/ARCHSURG.1971.01350060062020
Sherman J. Silber, Justin Kelly, Successful Autotransplantation of an Intra-Abdominal Testis to the Scrotum by Microvascular Technique Journal of Urology. ,vol. 115, pp. 452- 454 ,(1976) , 10.1016/S0022-5347(17)59240-X
Castañón Morales J, Yamaguchi R, Prune belly syndrome MINERVA Pediatrica. ,vol. 22, pp. 1338- 1339 ,(1970)
Wulfsohn Ma, Brendler H, Surgical treatment of the high undescended testis. Surgery gynecology & obstetrics. ,vol. 124, pp. 605- ,(1967)
Robert J. Prentiss, Charles J. Weickgenant, James J. Moses, Donald B. Frazier, Undescended Testis: Surgical Anatomy of Spermatic Vessels, Spermatic Surgical Triangles and Lateral Spermatic Ligament The Journal of Urology. ,vol. 83, pp. 686- 692 ,(1960) , 10.1016/S0022-5347(17)65778-1