Pre scrotal access in inguinal scrotal pathologies
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Pre-scrotal access in inguinal-scrotal pathologies. Dr. GERMAN QUEVEDO P. FACS FAAP Pediatric and Urology Service Japanese University Hospital Santa Cruz - Bolivia II World Congress of the World Federation of Association of Pediatrics Surgeons

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Pre-scrotal access in inguinal-scrotal pathologies

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Pre scrotal access in inguinal scrotal pathologies

Pre-scrotal access in inguinal-scrotal pathologies

Dr. GERMAN QUEVEDO P. FACS FAAP

Pediatric and Urology Service

Japanese 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


Objetives

Pre-scrotal access

OBJETIVES

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


Material and methods

MATERIAL AND METHODS

Prospective work, from July 2004 to August 2007

Total: 220 patients

Inguinal Hernia 92

Inguinal Cysts 20

Undescended reticules 68

Hydrocele 22

Acute scrotum 9

Testicular prosthesis 3

Testicular tumors 4

Testicular torsion 2

Ages: from 4 m a 13 y ( medium 4,8 y )

All surgeries were done by the same Pediatric Surgeon


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 surgeries

  • 80% return100% success

  • RESULTS

    Corionic gonadotrofine


    Results1

    RESULTS

    • 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


  • Pre scrotal access in inguinal scrotal pathologies

    Conclusion

    • 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


    Pre scrotal access in inguinal scrotal pathologies

    Orchidopexy??


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