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Orşidopekside Patent Processus Vajinalis Kapatılmasının Nüks ve Atrofi üzerine Etkisi-15 Yıllık Deneyim

Effect of Closing Processus Vagınalis in Orchıdopexy to Recurrence and Testicular Atrophy – 15 Years Experience

Nilsun Kuas(Van Eğitim Araştırma Hastanesi)0000-0001-6951-3494
Ufuk Ateş(ANKARA UNIVERSITY, ANKARA FACULTY OF MEDICINE)0000-0001-6591-7168
Ergun Ergün(ANKARA UNIVERSITY, ANKARA FACULTY OF MEDICINE)0000-0001-8806-4022
Aysel Mammadlı(ANKARA UNIVERSITY, ANKARA FACULTY OF MEDICINE)0009-0008-6531-1279
İrem Semiha Köksaldı(FIRAT UNIVERSITY)0000-0002-4786-2981
Atike Atasoy(Sincan Education and Research Hospital)0000-0002-8267-197X
Gulnur Gollu(ANKARA UNIVERSITY, ANKARA FACULTY OF MEDICINE)0000-0001-8163-2226
Meltem Koloğlu(ANKARA UNIVERSITY, ANKARA FACULTY OF MEDICINE)0000-0001-7726-7633
Aydın Yağmurlu(ANKARA UNIVERSITY, ANKARA FACULTY OF MEDICINE)0000-0002-3294-4482
Ahmet Çakmak(ANKARA UNIVERSITY, ANKARA FACULTY OF MEDICINE)0000-0002-4870-8361
Sayfa
91–94
Yayın Tarihi
2025-01-17
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

There is no need to ligate the PPV with additional dissection and open the external oblique fascia if it is predicted that the spermatic cord and testicular vessels may come to scrotum without tension in patients who underwent orchiopexy surgery.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Undescended testis is one of the most common pathologies encountered by pediatric surgeons.
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Temel Bulgular & Veri:After the approval of the local ethics committee, patients who were operated for undescended testis between January 2007 and December 2022 were evaluated.
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Sonuç & Katkı:There is no need to ligate the PPV with additional dissection and open the external oblique fascia if it is predicted that the spermatic cord and testicular vessels may come to scrotum without tension in patients who underwent orchiopexy surgery.
🔬Tür:Klinik Araştırma
📍Kapsam:2007 Verileri
⚙️Değişkenler:inmemiş testis · orşidopeksi · patent processus vajinalis

Özet

Undescended testis is one of the most common pathologies encountered by pediatric surgeons. In traditional orchidopexy operation, patent processus vaginalis (PPV) is dissected from testicular vessels and spermatic cord. In this study, it was aimed to compare the results of undescended testis patients with and without PPV closure in terms of recurrence and atrophy. After the approval of the local ethics committee, patients who were operated for undescended testis between January 2007 and December 2022 were evaluated. Patients were determined in two groups. first group was with PPV ligation (n=171), second group was without PPV ligation (n=1637). Inguinal hernia was not observed after any operation. There were 23 recurrences (%13,4) in group 1 and 48 recurrences (%2,9) in group 2. According to the preoperative evaluation; A decrease in testicular size was detected in 5 patients (2.9%) in Group 1 and 8 patients (0.4%) in Group 2 in the postoperative follow-up. There is no need to ligate the PPV with additional dissection and open the external oblique fascia if it is predicted that the spermatic cord and testicular vessels may come to scrotum without tension in patients who underwent orchiopexy surgery.

Abstract

Undescended testis is one of the most common pathologies encountered by pediatric surgeons. In traditional orchidopexy operation, patent processus vaginalis (PPV) is dissected from testicular vessels and spermatic cord. In this study, it was aimed to compare the results of undescended testis patients with and without PPV closure in terms of recurrence and atrophy. After the approval of the local ethics committee, patients who were operated for undescended testis between January 2007 and December 2022 were evaluated. Patients were determined in two groups. first group was with PPV ligation (n=171), second group was without PPV ligation (n=1637). Inguinal hernia was not observed after operation in 15 years of follow-up. There were 23 recurrences (%13,4) in group 1 and 48 recurrences (%2,9) in group 2. According to the preoperative evaluation; A decrease in testicular size was detected in 5 patients (2.9%) in Group 1 and 8 patients (0.4%) in Group 2 in the postoperative follow-up. There is no need to ligate the PPV with additional dissection and open the external oblique fascia if it is predicted that the spermatic cord and testicular vessels may come to scrotum without tension in patients who underwent orchiopexy surgery.

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Bu Makaleye Atıf Yap

Kuas, N., Ateş, U., Ergün, E., Mammadlı, A., Köksaldı, İ. S., Atasoy, A., Gollu, G., Koloğlu, M., Yağmurlu, A., Çakmak, A. (2025). Orşidopekside Patent Processus Vajinalis Kapatılmasının Nüks ve Atrofi üzerine Etkisi-15 Yıllık Deneyim. Osmangazi Tıp Dergisi, Cilt: 47 Sayı: 1, 91–94. https://doi.org/10.20515/otd.1549070

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Kaynakça (19)

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