| dc.description.abstract | urrently, orchiopexy is performed for undescended palpable testicles with a skin incision in the inguinal area to release the testicle and close the hernia sac. Scrotal incision is also performed to fix the testicle in the subdartus pouch. Considering the contamination of the scrotal area and the possibility of infection and damage to the testicles and other complications of the surgical wound in the scrotal area incision, we suggested to exclude the transscrotal incision from the operation procedure. in the transinguinal method instead of an incision in the skin of the scrotum; Without creating an incision in the skin of the scrotum, with the help of a blunt instrument like a large clamp, scrotum is inverted from inside the wound to the inguinal cavity, and the flap of the dartos muscle is released from the inside of the skin. The testicle is fixed from inside the scrotum with a suture and the dartos muscle is closed on it, and then the skin of the scrotum is returned to its place, and as a result, the testicle returns to the scrotum with it and is placed in the expected place. In this study, the results of transinguinal orchiopexy were compared and analyzed with the conventional method.
Materials and methods:This research was a controlled interventional study. Variables were collected from pre-operative, intra-operative and post-operative examinations, ultrasound and information in the file and phone calls to the parents. Boys over 6 months and under 24 months suffering from undescended testicle disease who were hospitalized in Mardani Azari Children's Hospital in Tabriz from 2024-02-29 to 2024-05-20 who were hospitalized and underwent surgery and orchiopexy by both transscrotal and transinguinal methods They were entered the study.
Finally, 102 patients were included in the study and after collecting the variables, 92 cases whose post-operative information was obtained were subjected to statistical analysis. It was not possible to collect post-operative information in 10 cases.
Findings: In this study, variables related to treatment results and possible complications such as operation time, size and location of the testicle before the operation, preoperative atrophy and the amount of testicular stretch during the orchiopexy, and the size and location of the testicle and the amount of stretch in subsequent visits up to three Months and common complications reacsend after orchiopexy were investigated and recorded and statistically studied.
The statistical findings confirmed that the therapeutic and cosmetic results and the prevalence of complications between the two groups were not statistically significantly different. | en_US |
