Microvascular autotransplantation of intraabdominal testis

Objective & Hypothesis:In the management of the intraabdominal testis, one or two stage Fowler-Stephens procedure or orchidopexy by high testicular vessel transection with microvascular reanastomosis of the testicular vessels to the inferior epigastric vessels have been suggested.

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Key Findings & Data:The Fowler-Stephens procedure has a success rate of no greater than 80 %.

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Conclusion & Impact:In this study two patients with intraabdominal testis treated with microvascular autotransplantation is presented.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Testis · Kriptorşidizm · Testis

Abstract

In the management of the intraabdominal testis, one or two stage Fowler-Stephens procedure or orchidopexy by high testicular vessel transection with microvascular reanastomosis of the testicular vessels to the inferior epigastric vessels have been suggested. The Fowler-Stephens procedure has a success rate of no greater than 80 %. However, there are reports with more than 90 % success rate in autotransplantation . In this study two patients with intraabdominal testis treated with microvascular autotransplantation is presented.

Özet

İntraabdominal testisin tedavisinde tek ya da iki evreli Fowler-Stephens orşidopeksi ya da testiküler damarların yüksek seviyeden bağlanıp kesilerek inferior epigastrik arter ve vene mikrocerrahi yöntemle anastomoz edilmesi uygulanan yöntemlerdendir. Fowler-Stephens işleminin başarısı % 80'i geçmemesine karşılık ototransplantasyonda % 90'ı geçen başarı oranları bildirilmektedir. Bu çalışmada mikrovasküler ototransplantasyon yöntemi ile tedavi edilen intraabdominal testisli iki hasta sunuldu.

Keywords

Testis Kriptorşidizm Cryptorchidism

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Cite This Article

OKUR, H., ALKAN, Y., KARAKAYA, A. E., GÜZEL, M. (2006). Microvascular autotransplantation of intraabdominal testis. Çocuk Cerrahisi Dergisi, Cilt: 20 - Sayı: 1, 62–64. https://ajindex.com/articles/160830

References (1)

Baker LA, Silver RI, Docimo SG: Cryptorchidisim, in Gearhart JP, Rink RC, Moriquand PDE (eds): Pediatric Urology, Philadelphia, WB Saunders, 2001, VI:738 2. Walker DR: Cryptorchidism, in O'Donnell B and Koff S A (eds): Pediatric Urology, Cambridge, Butterworth-He- inemann 47:569, 1997 3. Boddy SAM, Gordon AC, Thomas DFM, et al: Experience with the Fowler-Stephens and microvascular procedures in the management of intra-abdominal testis. Br J Urol 68:199, 1991 4. Bukowski TP, Wacksman J, Billwire DA, et al: Testicular autotransplantation: A 17 year review of an effective appproach to the management of the intraabdominal testis. J Urol 154:558, 1995 5. Docimo SG: The results of surgical therapy for cryptorc hidism: a literature review and analysis. J Urol 154:1148,1995 6. Fowler R, Stephens FD: The role of testicular vascular anatomy in the salvage of the high undescended testes. Aust NZ J Surg 29:92, 1959 7. Frey P, Bianchi A: Microvascular orchidopexy. Eur J Pediatr 146(Suppl 2):S51, 1987 8. Garibyan H, Hodde KC: Vascular corrosion casts of the dog testis after experimental microvascular surgical orc hiopexy. A scanning electron microscope study. Br J Urol 59:564, 1987 9. Oettle AG, Harrison RG: The histological changes produced in the rat testis by temporary and permanent occlusion of the testicular artery. J Path Bacteriol 64:273, 1952 10. Rozanski T, Bloom DA, Colodny A: Surgery of the scrotum and testis in children, in Walsh PC, Retik AB, Vaughan ED, Wein AJ (eds): Campbell's Urology, Philadelphia, WB Saunders 72:2172, 1998 11. Salman T, Fonkalsrud EW: Effects of spermatic vascular division for correction of the high undescended testis on testicular function. Am J Surg 160:506, 1990 12. Silber SJ, Kelly J: Successful autotransplantation of an intraabdominal testis. J Urol 115:452, 1976 13. Tackett LD, Wacksman J, Billmire D, et al: The high intra-abdominal testis: technique and long-term success of laparoscopic testicular autotransplantation. J Endourol 16:359,2002 14. Wacksman J, Dinner M, Straffon RA: Technique of testicular auto-tarnsplantationin of the intraabdominal testis using a microvascular anastomosis. Surg Gynecol Obstet 150:399, 1980 15. Wacksman J, Billmire DA, Lewis AG, et al: Laparoscopically assisted testicular autotransplantation for management of the intraabdominal undescended testis. J Urol 156:772,1996