pre-scrotal access in inguinal-scrotal pathologies dr. german quevedo p. facs faap pediatric and...
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Pre-scrotal access in inguinal-scrotal pathologies
Dr. GERMAN QUEVEDO P. FACS FAAPPediatric and Urology ServiceJapanese University Hospital
Santa Cruz - Bolivia
II World Congress of the World Federation of Association of Pediatrics Surgeons
VII Congress of the Federation of Pediatric Surgical Associations of the South Cone of America
Argentina - 2007
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To present an alternative for the inguinal-scrotal pathologies
To discuss the advantages and disadvantages of this access
To present our experience with this access
OBJETIVES
Pre-scrotal access
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Prospective work, from July 2004 to August 2007
Total: 220 patients
Inguinal Hernia 92Inguinal Cysts 20Undescended reticules 68 Hydrocele 22Acute scrotum 9Testicular prosthesis 3Testicular tumors 4Testicular torsion 2
Ages: from 4 m a 13 y ( medium 4,8 y )
All surgeries were done by the same Pediatric Surgeon
MATERIAL AND METHODS
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RESULTS• Palpables Undescended Testicules
70% were found in the inferior inguinal chanel 30% were found in the medium inguinal chanel
• 80% The aponeurotic fascia was respect
• 100% got a scrotal position 80% satisfactory 20% scrotal high position
• Medium surgical time was 30 min.
• Controls after 20 months of surgeries80% return 100% success
Corionic gonadotrofine
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• Inguinal Hernia, Inguinal Cysts, Hydrocele
- No relapse were found in any case- 100% were not opened the aponeuroses
• Testicular tumors• Considering the tumorals sizes, the surgical time was to short
• Testicular torsion • Immediate access with minimal mobilization for
element's evaluation
RESULTS
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Short surgical time Minimal learn curve High percentage of respecting aponeuroses Only one incision for UDTs Easy access to the scrotum in UDTs Easy access and quickly evaluation in: Hydrocele, T. Tumors Acute scrotum, Inguinal hernia No manipulation in T. Tumors Excellent option for people that need to return to physical activity Excellent cosmetic
Conclusion
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Orchidopexy??