Feasibility and safety of monopolar diathermy as an alternative to clip ligation in laparoscopic Fowler-Stephens orchiopexy
作者： Amr Abdelhamid AbouZeid , Manal Hassan Moussa , Mohamed Sameh Shalaby , Hesham Soliman Safoury , Osama El-naggar
DOI: 10.1016/J.JPEDSURG.2012.04.012
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摘要: Abstract Purpose The aims of the study were to effect Fowler-Stephens orchiopexy (FSO) on testicular histology and assess feasibility using monopolar diathermy as an alternative clip ligation during laparoscopic FSO. Patients Methods included 20 patients with intraabdominal testes short vessels managed by laparoscopic-staged Biopsies taken from first second stages procedure for histologic comparison. in divided into 2 groups according method dividing stage 1. 13 (group A) vessels, whereas was used following 7 B). Results Biopsy findings at revealed overall reduction both total number germ cells per tubule mean diameter seminiferous tubules, there no statistically significant difference between results A B. Conclusion can withstand (survive) main blood supply testis be clipping procedures, having advantages lower expenses smaller instruments.
asu.edu.eg参考文章(19)
Manuel Nistal, Ricardo Paniagua, Testicular biopsy. Contemporary interpretation Urologic Clinics of North America. ,vol. 26, pp. 555- 593 ,(1999) , 10.1016/S0094-0143(05)70200-7
David A. Bloom, Two-Step Orchiopexy with Pelviscopic Clip Ligation of the Spermatic Vessels The Journal of Urology. ,vol. 145, pp. 1030- 1033 ,(1991) , 10.1016/S0022-5347(17)38522-1
Juan A. Pascual, Javier Villanueva-Meyer, Eduardo Salido, Richard M. Ehrlich, Ismael Mena, Jacob Rajfer, Recovery of testicular blood flow following ligation of testicular vessels The Journal of Urology. ,vol. 142, pp. 549- 552 ,(1989) , 10.1016/S0022-5347(17)38812-2
Dan Poenaru, Yves L. Homsy, François Péloquin, Gervais O. Andze, Laparoscopic management of the impalpable abdominal testis Urology. ,vol. 42, pp. 574- 578 ,(1993) , 10.1016/0090-4295(93)90278-I
F. Hadziselimovic, B. Herzog, Treatment With a Luteinizing Hormone-Releasing Hormone Analogue After Successful Orchiopexy Markedly Improves the Chance of Fertility Later in Life: Reply by Authors The Journal of Urology. pp. 1195- ,(1997) , 10.1097/00005392-199709000-00132
F. Hadžiselimovic, B. Herzog, Treatment With a Luteinizing Hormone-Releasing Hormone Analogue after Successful Orchiopexy Markedly Improves the Change of Fertility Later in Life The Journal of Urology. ,vol. 158, pp. 1193- 1195 ,(1997) , 10.1016/S0022-5347(01)64422-7
Gregory E. Tasian, Adam B. Hittelman, Grace E. Kim, Michael J. DiSandro, Laurence S. Baskin, Age at Orchiopexy and Testis Palpability Predict Germ and Leydig Cell Loss: Clinical Predictors of Adverse Histological Features of Cryptorchidism Journal of Urology. ,vol. 182, pp. 704- 709 ,(2009) , 10.1016/J.JURO.2009.04.032
F. Tansu Salman, Eric W. Fonkalsrud, Effects of spermatic vascular division for correction of the high undescended testis on testicular function American Journal of Surgery. ,vol. 160, pp. 506- 510 ,(1990) , 10.1016/S0002-9610(05)81016-5
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
G. Stanford Law, Luis M. Perez, David B. Joseph, Two-Stage Fowler-Stephens Orchiopexy With Laparoscopic Clipping of the Spermatic Vessels The Journal of Urology. ,vol. 158, pp. 1205- 1207 ,(1997) , 10.1016/S0022-5347(01)64428-8