Single port laparoscopic orchidopexy in children using surgical glove port and conventional rigid instruments

Author: 
Mahdi Ben Dhaou, Rahma Chtourou- Mohamed Jallouli, Hayete Zitouni and Riadh Mhiri

Objectives: Using a review of the literature, we described our technique for laparoendoscopic single site surgery orchidopexy using glove port and rigid instruments and we assessed its feasibility and its outcomes. Patients and Methods: We retrospectively reviewed the case records of all children who had undergone laparoendoscopic single site surgery orchidopexy for a nonpalpable intraabdominal testis between January 2013 and September 2014, using surgical glove port and conventional rigid instruments in children. Results: A total of 20 patients were collected. Mean age was 18 months. All cases had non palpable unilateral undescended testis. Fourteen patients (70%) had unilateral right side and six patients (30%) had unilateral left side. Seventeen patients underwent primary orchidopexy. Three patients had single-port laparoscopic Fowler–Stephens orchidopexy for the first and the second stage. Average operating time was 57 minutes (ranging from 40 to 80 minutes). No patient was lost to follow-up. At follow-up 2 testis were found to have retracted out of the scrotum and these were successfully dealt with a second operation. One testis was hypoplastic in the scrotal pouch. There were no signs of umbilical hernia. Conclusion: Single port laparoscopic orchidopexy using glove port and rigid instruments is technically feasible and safe for various nonpalpable intraabdominal testis. However, surgical experience and long-term follow-up are needed to test the superiority of this technique.

Paper No: 
338