Laparoscopic Orchiopexy: Use of a Hitch StitchVideo Type: CVideo
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Author: ashay patel
Specialties: Pediatric Surgery, Urologic Surgery
Schools: University of Arkansas for Medical Sciences
Contributors: John Paddack (University of Arkansas for Medical Sciences)
INTRODUCTION AND OBJECTIVES: The percutaneous hitch stitch, a commonly described technique for elevation of the ureteropelvic junction during laparoscopic pyeloplasty, allows for easier dissection and suturing. We have adapted this technique to laparoscopic orchiopexy.
METHODS: The technique described was used for testicular retraction during three consecutive cases of right-sided intraabdominal testicle
RESULTS: There were three cases of non palpable testicle, mean age 31 months (range 22-42). Testicles were all within 3 cm of internal ring on laparoscopy. In all cases, testicle was placed in subdartos pouch in single stage, without division of the spermatic vessels. There were no complications.
CONCLUSIONS: The percutaneous hitch stitch is a simple modification to the traditional laparoscopic orchiopexy. It provides atraumatic retraction of the intraabdominal testicle and facilitates dissection of spermatic vessels from the posterior peritoneum.
Anatomy and Landmarks
Disclosure of Conflicts