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Does the internal inguinal ring need closure during laparoscopic orchiopexy with Prentiss manoeuvre?

  • Urology - Original Paper
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Abstract

Background

Undescended testis is a common problem, which is prevalent in 3 % of male infants. This study aimed to determine the effect of leaving the deep inguinal ring (DIR) without closure during laparoscopic orchiopexy (LO), with regard to post-operative hernia formation and other outcomes.

Methods

From 2012 to 2014, 63 testicular units were managed with laparoscopy for non-palpable testis (NPT). Diagnostic laparoscopy was performed for all NPTs, and when they were intra-abdominal (42 testicular units), the DIR was left open after mobilization of the testis into the scrotum medial to the inferior epigastric vessels (Prentiss manoeuvre). We followed up these cases to check for hernia formation.

Results

The ages ranged from 10 months to 11 years with mean age at 3.7 years. Clinically, no cases presented with hernia, hydrocele or any other complications during a mean follow-up period of 34.4 months.

Conclusion

Closing the peritoneum over the DIR might be omitted in LO with Prentiss manoeuvre, saving operative time and effort. By doing so, there is no risk of hernia formation.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Institute of Maternal and Child Health, Government Medical College, Kozhikode, Kerala, 673008, India

    Sarath Kumar Narayanan, Jagadeesh N. Puthenvariath, Prathap Somnath & Arun Mohanan

Authors
  1. Sarath Kumar Narayanan
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  2. Jagadeesh N. Puthenvariath
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  3. Prathap Somnath
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  4. Arun Mohanan
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Corresponding author

Correspondence to Sarath Kumar Narayanan.

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The authors declare that they have no conflict of interest.

Ethics approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.

Informed consent

Informed consent was obtained as applicable from all individual participants included in the study.

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Narayanan, S.K., Puthenvariath, J.N., Somnath, P. et al. Does the internal inguinal ring need closure during laparoscopic orchiopexy with Prentiss manoeuvre?. Int Urol Nephrol 49, 13–15 (2017). https://doi.org/10.1007/s11255-016-1438-1

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  • DOI: https://doi.org/10.1007/s11255-016-1438-1

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