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Routine laparoscopy for nonpalpable testes?

Mikaelsson, C.; Arnbjörnsson, E. LU ; Lindhagen, T.; Montgomery, A. and Kullendorff, C. M. (1999) In Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A 9(3). p.239-241
Abstract

There are still no accepted criteria for the selection of patients with nonpalpable testes for laparoscopy versus a primary surgical exploration. We here report our experience using routine laparoscopy in such patients. The aim was to determine whether laparoscopy should be the first operative intervention or follow an inguinal exploration. Included in the study were 61 boys with 69 nonpalpable testes. Thirty-three testes were found in the abdomen, and 36 testes were extra-abdominal or nonexistent. If an exploration of the inguinal region had been the initial surgical intervention, six testes would have been found, making laparoscopy unnecessary. On the other hand, in the search for 63 missing testes, laparoscopy saved the patients from... (More)

There are still no accepted criteria for the selection of patients with nonpalpable testes for laparoscopy versus a primary surgical exploration. We here report our experience using routine laparoscopy in such patients. The aim was to determine whether laparoscopy should be the first operative intervention or follow an inguinal exploration. Included in the study were 61 boys with 69 nonpalpable testes. Thirty-three testes were found in the abdomen, and 36 testes were extra-abdominal or nonexistent. If an exploration of the inguinal region had been the initial surgical intervention, six testes would have been found, making laparoscopy unnecessary. On the other hand, in the search for 63 missing testes, laparoscopy saved the patients from laparotomy or an extensive inguinal exploration. We conclude that an accurate knowledge of testis, vas, and vessel location gained by laparoscopy facilitates the selection of an appropriate surgical strategy, saving at least 51% of patients from laparotomy or an extensive inguinal exploration.

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author
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A
volume
9
issue
3
pages
3 pages
publisher
Mary Ann Liebert, Inc.
external identifiers
  • scopus:0345517347
ISSN
1092-6429
DOI
10.1089/lap.1999.9.239
language
English
LU publication?
no
id
7d021b76-9958-40eb-ac8e-0d0fa9d7f540
date added to LUP
2018-11-09 09:25:42
date last changed
2019-01-06 14:13:56
@article{7d021b76-9958-40eb-ac8e-0d0fa9d7f540,
  abstract     = {<p>There are still no accepted criteria for the selection of patients with nonpalpable testes for laparoscopy versus a primary surgical exploration. We here report our experience using routine laparoscopy in such patients. The aim was to determine whether laparoscopy should be the first operative intervention or follow an inguinal exploration. Included in the study were 61 boys with 69 nonpalpable testes. Thirty-three testes were found in the abdomen, and 36 testes were extra-abdominal or nonexistent. If an exploration of the inguinal region had been the initial surgical intervention, six testes would have been found, making laparoscopy unnecessary. On the other hand, in the search for 63 missing testes, laparoscopy saved the patients from laparotomy or an extensive inguinal exploration. We conclude that an accurate knowledge of testis, vas, and vessel location gained by laparoscopy facilitates the selection of an appropriate surgical strategy, saving at least 51% of patients from laparotomy or an extensive inguinal exploration.</p>},
  author       = {Mikaelsson, C. and Arnbjörnsson, E. and Lindhagen, T. and Montgomery, A. and Kullendorff, C. M.},
  issn         = {1092-6429},
  language     = {eng},
  month        = {01},
  number       = {3},
  pages        = {239--241},
  publisher    = {Mary Ann Liebert, Inc.},
  series       = {Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A},
  title        = {Routine laparoscopy for nonpalpable testes?},
  url          = {http://dx.doi.org/10.1089/lap.1999.9.239},
  volume       = {9},
  year         = {1999},
}