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- W1569769912 abstract "So-called malposition of the testis includes congenital undescended testis (intra-abdominal, canal, and high scrotal), ectopic testis, retractile testis, vanishing testis and so on. An exact preoperative diagnosis has been mandatory for selecting an appropriate therapeutic modality for each type of malposition. Embryologically, undescended testis syndrome should be associated with a patent processus vaginalis (PPV) (Fonkalsrud, 1986). The principle of orchiopexy for undescended testis consists of the closure of the PPV high at its neck (Radmayr C. et al., 1999) and the placement of the pedunculated testis into the dartos pouch. Inguinal exploration has been a standard approach for this aim and FowlerStephens’ one-stage or two-stage operation has been recommended for intra-abdominal testes (Kogan, 1992). Laparoscopic PPV closure using an Endoneedle, which we specifically developed for PPV closure (Endo, et al., 2001) conducted us to its application to orchiopexy. And the procedures have been sophisticated to facilitate one-stage orchiopexy that is applicable to all types of malpositioned testes by combining a diagnostic/therapeutic laparoscopy and an orchiopexy through trans-scrotal incision, while rendering most of preoperative diagnostic modalities unnecessary. The purpose of this paper is to introduce our strategy for a systematic approach to cryptorchidism using laparoscopy, and to discuss the detailed operative procedures and its outcomes." @default.
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- W1569769912 date "2011-09-30" @default.
- W1569769912 modified "2023-10-03" @default.
- W1569769912 title "Laparoscopy-Assisted One-Stage Trans-Scrotal Orchiopexy Applicable to All Types of Maldescended Testes" @default.
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- W1569769912 doi "https://doi.org/10.5772/17920" @default.
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