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

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. Metho...

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Bibliographic Details
Published in:International urology and nephrology 2017, Vol.49 (1), p.13-15
Main Authors: Narayanan, Sarath Kumar, Puthenvariath, Jagadeesh N., Somnath, Prathap, Mohanan, Arun
Format: Article
Language:English
Subjects:
Child
Child, Preschool
Cryptorchidism - surgery
Follow-Up Studies
Hernia, Inguinal - etiology
Humans
Infant
Inguinal Canal - surgery
Male
Medicine
Medicine & Public Health
Nephrology
Orchiopexy - adverse effects
Orchiopexy - methods
Peritoneum - surgery
Postoperative Complications - etiology
Retrospective Studies
Urology
Urology - Original Paper
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Summary: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.
ISSN:0301-1623
1573-2584
DOI:10.1007/s11255-016-1438-1