WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Ashraf Fiek Tawfeek Albakri*, Kawa Mohammed Mawlood and Botan Abdulkadir Ali

ABSTRACT

Background: Laparoscopy has significantly improved impalpable testes study and management, replacing ultrasound and magnetic resonance imaging. This study assesses outcomes and complications of laparoscopic approaches in a pediatric surgery center. Variable nomenclature leads to ambiguity. Aim: To evaluate the role of laparoscopy in the management of impalpable testes in pediatrics. Patients and Method: A prospective case series study was conducted on 50 testes of 44 children with UDT at the Department of pediatric Surgery in Al-khansa'a Teaching Hospital, Mosul, Iraq from January 2013 to January 2015. All patients had impalpable testes whether unilateral or bilateral and after meticulous repeated examinations, they subjected to laparoscopy. Surgical finding, total number of complications, complications of each procedure and percentage were estimated. Results: After induction of anesthesia and direct orchiopexy done, 10(20%) of testes were palpated in the inguinal region while 14(28%) of the testes were not identified intra-abdominally so this group was considered as vanishing testes. The remaining 26(52%) testes were identified intra-abdominally at different sites; 8(16%) were intra-canalicular, 6(12%) testes were identified in the abdomen, 8(16%) were identified in the abdomen proximal to the internal inguinal ring with short vessels, and 4(8%) also identified intra-abdominally with very short vessels. Conclusion: Laparoscopy was an important method in the diagnosis and treatment of impalpable testes. Laparoscopic management of impalpable testes was the best in dealing with all varieties of impalpable testes.

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