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Volume 8, Issue 5, October 2020, Page: 158-162
Surgical Management of Undescended Testis in Infants, Single Scrotal Incision Orchiopexy Versus Traditional Inguinal Approach: A Comparative Study
Omar Atef Elekiabi, Department of Pediatric Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt
Ehab Mahroos Oraby, Department of General Surgery, Faculty of Medicine, Benha University, Benha, Egypt
Mohamed Abdallah Zaitoun, Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt
Abdelwahab Saleh Almoregy, Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt
Received: Jun. 13, 2020;       Accepted: Jun. 22, 2020;       Published: Sep. 3, 2020
DOI: 10.11648/j.js.20200805.13      View  154      Downloads  71
Abstract
Background: Surgical intervention is mostly needed in many cases of undescended testis to improve fertility; it is still unsure which approach is better than the other in management of undescended testicle in infants; classic inguinal approach or scrotal single incision approach. Aim of the current study was to compare between classic inguinal approach and scrotal single incision approach to perform orchiopexy for management of un-descended testis in infants and to clarify which is better; inguinal orchidopexy or scrotal orchidopexy. Patients and methods: we included forty male patients with undescended testis who were divided into two groups; group A included twenty patients and they were surgically managed with single trans-scrotal orchiopexy and group B included twenty patients and they were surgically managed with classic inguinal approach by two incisions (inguinal and scrotal). We assessed operative time and complications as wound infection, recurrence and testicular atrophy. Results: Operative time in group A was shorter than the operative time of group B which was managed by the inguinal approach (p=0.004). Immediate post-operative complications as; skin site infection, hematoma and edema, in group A were slightly more than the complications in group B (p=0.002). group A showed no recurrence or testicular atrophy after six months while group B showed 2 cases of recurrence and one case of testicular atrophy (p=0.005). At three months after surgery, cosmetic results and patients satisfaction of the incision scar was higher in group A than group B (p<0.001). Conclusions: performing orchiopexy through single scrotal incision approach is better than the approach of inguinal incision regarding operative time, rabid healing time, parents’ satisfaction, fewer long-term complications, less incidence of testicular atrophy and recurrence.
Keywords
Undescended Testis, Single Scrotal Incision, Inguinal Approach
To cite this article
Omar Atef Elekiabi, Ehab Mahroos Oraby, Mohamed Abdallah Zaitoun, Abdelwahab Saleh Almoregy, Surgical Management of Undescended Testis in Infants, Single Scrotal Incision Orchiopexy Versus Traditional Inguinal Approach: A Comparative Study, Journal of Surgery. Vol. 8, No. 5, 2020, pp. 158-162. doi: 10.11648/j.js.20200805.13
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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