Effects of single-port laparoscopic percutaneous extraperitoneal closure on the orientation of the vas deferens and testicular perfusion and volume: Experience from a single center
Summary Objective To investigate the influence of single-port laparoscopic percutaneous extraperitoneal closure (LPEC) on the orientation of the vas deferens and testicular perfusion and volume in pediatric patients undergoing inguinal hernia repair. Methods A total of 92 consecutively enrolled boys...
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Veröffentlicht in: | Journal of pediatric urology 2016-06, Vol.12 (3), p.170.e1-170.e5 |
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description | Summary Objective To investigate the influence of single-port laparoscopic percutaneous extraperitoneal closure (LPEC) on the orientation of the vas deferens and testicular perfusion and volume in pediatric patients undergoing inguinal hernia repair. Methods A total of 92 consecutively enrolled boys preoperatively diagnosed with a unilateral inguinal hernia underwent single-port LPEC between June 2013 and June 2014. The orientation of the vas deferens and the testicular perfusion and volume of these patients were ultrasonographically assessed preoperatively, one month after surgery and six months after surgery. Results The surgical procedures were performed successfully without conversion or serious perioperative complications. Ultrasonography showed no angulation or distortion of the vas deferens on the surgical side during a six-month follow-up period. Similarly, there were no perioperative changes in testicular perfusion or volume. Conclusion Our experience suggests that the single-port LPEC technique can be safe and effective in pediatric patients with an inguinal hernia and that this technique does not affect the orientation of the vas deferens or testicular perfusion or volume. Figure Suturing was performed extraperitoneally. |
doi_str_mv | 10.1016/j.jpurol.2015.11.006 |
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Methods A total of 92 consecutively enrolled boys preoperatively diagnosed with a unilateral inguinal hernia underwent single-port LPEC between June 2013 and June 2014. The orientation of the vas deferens and the testicular perfusion and volume of these patients were ultrasonographically assessed preoperatively, one month after surgery and six months after surgery. Results The surgical procedures were performed successfully without conversion or serious perioperative complications. Ultrasonography showed no angulation or distortion of the vas deferens on the surgical side during a six-month follow-up period. Similarly, there were no perioperative changes in testicular perfusion or volume. Conclusion Our experience suggests that the single-port LPEC technique can be safe and effective in pediatric patients with an inguinal hernia and that this technique does not affect the orientation of the vas deferens or testicular perfusion or volume. Figure Suturing was performed extraperitoneally.</description><identifier>ISSN: 1477-5131</identifier><identifier>EISSN: 1873-4898</identifier><identifier>DOI: 10.1016/j.jpurol.2015.11.006</identifier><identifier>PMID: 26776746</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Child, Preschool ; Hernia, Inguinal - surgery ; Herniorrhaphy - methods ; Humans ; Infant ; Laparoscopic percutaneous extraperitoneal closure ; Laparoscopy - methods ; Male ; Organ Size ; Pediatric inguinal hernia ; Pediatrics ; Peritoneum ; Regional Blood Flow ; Retrospective Studies ; Single port ; Testis - anatomy & histology ; Testis - blood supply ; Ultrasonography ; Ultrasound sonography ; Urology ; Vas deferens ; Vas Deferens - diagnostic imaging</subject><ispartof>Journal of pediatric urology, 2016-06, Vol.12 (3), p.170.e1-170.e5</ispartof><rights>Journal of Pediatric Urology Company</rights><rights>2015 Journal of Pediatric Urology Company</rights><rights>Copyright © 2015 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-1a72b03d8fde8235d84902dc3c7dbf14f1b4bd51cbacc60d9669dfa95b3179ef3</citedby><cites>FETCH-LOGICAL-c417t-1a72b03d8fde8235d84902dc3c7dbf14f1b4bd51cbacc60d9669dfa95b3179ef3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpurol.2015.11.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26776746$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Canqiang</creatorcontrib><creatorcontrib>Xu, Le</creatorcontrib><creatorcontrib>Peng, Yonghui</creatorcontrib><creatorcontrib>Liang, Xuankun</creatorcontrib><creatorcontrib>Lin, Weibin</creatorcontrib><title>Effects of single-port laparoscopic percutaneous extraperitoneal closure on the orientation of the vas deferens and testicular perfusion and volume: Experience from a single center</title><title>Journal of pediatric urology</title><addtitle>J Pediatr Urol</addtitle><description>Summary Objective To investigate the influence of single-port laparoscopic percutaneous extraperitoneal closure (LPEC) on the orientation of the vas deferens and testicular perfusion and volume in pediatric patients undergoing inguinal hernia repair. Methods A total of 92 consecutively enrolled boys preoperatively diagnosed with a unilateral inguinal hernia underwent single-port LPEC between June 2013 and June 2014. The orientation of the vas deferens and the testicular perfusion and volume of these patients were ultrasonographically assessed preoperatively, one month after surgery and six months after surgery. Results The surgical procedures were performed successfully without conversion or serious perioperative complications. Ultrasonography showed no angulation or distortion of the vas deferens on the surgical side during a six-month follow-up period. Similarly, there were no perioperative changes in testicular perfusion or volume. Conclusion Our experience suggests that the single-port LPEC technique can be safe and effective in pediatric patients with an inguinal hernia and that this technique does not affect the orientation of the vas deferens or testicular perfusion or volume. Figure Suturing was performed extraperitoneally.</description><subject>Child, Preschool</subject><subject>Hernia, Inguinal - surgery</subject><subject>Herniorrhaphy - methods</subject><subject>Humans</subject><subject>Infant</subject><subject>Laparoscopic percutaneous extraperitoneal closure</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Organ Size</subject><subject>Pediatric inguinal hernia</subject><subject>Pediatrics</subject><subject>Peritoneum</subject><subject>Regional Blood Flow</subject><subject>Retrospective Studies</subject><subject>Single port</subject><subject>Testis - anatomy & histology</subject><subject>Testis - blood supply</subject><subject>Ultrasonography</subject><subject>Ultrasound sonography</subject><subject>Urology</subject><subject>Vas deferens</subject><subject>Vas Deferens - diagnostic imaging</subject><issn>1477-5131</issn><issn>1873-4898</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUkGP1iAQbYzGXVf_gTEcvbQyLS2tBxOz-VZNNvGgngmFQal8pQL9svu__IFS--nBi6eB4c2b4b0piudAK6DQvZqqaVmDd1VNoa0AKkq7B8Ul9LwpWT_0D_OZcV620MBF8STGidKG03p4XFzUHecdZ91l8fNgDKoUiTck2vmrw3LxIREnFxl8VH6xiiwY1JrkjH6NBO9SkDljk59ROqKcj2tA4meSvuUQLM5JJpvvmXNLnWQkGg0GnCORsyYJY7JqdTJs1GaNG3h7OHm3HvE1OdxtDXBWSEzwRyLPsxGVuTE8LR4Z6SI-O8er4svN4fP1-_L247sP129vS8WApxIkr0fa6N5o7Oum1T0baK1Vo7geDTADIxt1C2qUSnVUD103aCOHdmyAD2iaq-LlzrsE_2PNQ4ujjQqd26UQ0FPKKe2bLkPZDlVZtRjQiCXYowz3AqjY_BKT2P0Sm18CQGS_ctmLc4d1PKL-W_THoAx4swMw__NkMYiofgujbci-Ce3t_zr8S6Ccna2S7jveY5z8GuasoQARa0HFp21ntpWBllLGGDS_ABl5w90</recordid><startdate>20160601</startdate><enddate>20160601</enddate><creator>Li, Canqiang</creator><creator>Xu, Le</creator><creator>Peng, Yonghui</creator><creator>Liang, Xuankun</creator><creator>Lin, Weibin</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160601</creationdate><title>Effects of single-port laparoscopic percutaneous extraperitoneal closure on the orientation of the vas deferens and testicular perfusion and volume: Experience from a single center</title><author>Li, Canqiang ; Xu, Le ; Peng, Yonghui ; Liang, Xuankun ; Lin, Weibin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-1a72b03d8fde8235d84902dc3c7dbf14f1b4bd51cbacc60d9669dfa95b3179ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Child, Preschool</topic><topic>Hernia, Inguinal - surgery</topic><topic>Herniorrhaphy - methods</topic><topic>Humans</topic><topic>Infant</topic><topic>Laparoscopic percutaneous extraperitoneal closure</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Organ Size</topic><topic>Pediatric inguinal hernia</topic><topic>Pediatrics</topic><topic>Peritoneum</topic><topic>Regional Blood Flow</topic><topic>Retrospective Studies</topic><topic>Single port</topic><topic>Testis - anatomy & histology</topic><topic>Testis - blood supply</topic><topic>Ultrasonography</topic><topic>Ultrasound sonography</topic><topic>Urology</topic><topic>Vas deferens</topic><topic>Vas Deferens - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Canqiang</creatorcontrib><creatorcontrib>Xu, Le</creatorcontrib><creatorcontrib>Peng, Yonghui</creatorcontrib><creatorcontrib>Liang, Xuankun</creatorcontrib><creatorcontrib>Lin, Weibin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Canqiang</au><au>Xu, Le</au><au>Peng, Yonghui</au><au>Liang, Xuankun</au><au>Lin, Weibin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of single-port laparoscopic percutaneous extraperitoneal closure on the orientation of the vas deferens and testicular perfusion and volume: Experience from a single center</atitle><jtitle>Journal of pediatric urology</jtitle><addtitle>J Pediatr Urol</addtitle><date>2016-06-01</date><risdate>2016</risdate><volume>12</volume><issue>3</issue><spage>170.e1</spage><epage>170.e5</epage><pages>170.e1-170.e5</pages><issn>1477-5131</issn><eissn>1873-4898</eissn><abstract>Summary Objective To investigate the influence of single-port laparoscopic percutaneous extraperitoneal closure (LPEC) on the orientation of the vas deferens and testicular perfusion and volume in pediatric patients undergoing inguinal hernia repair. Methods A total of 92 consecutively enrolled boys preoperatively diagnosed with a unilateral inguinal hernia underwent single-port LPEC between June 2013 and June 2014. The orientation of the vas deferens and the testicular perfusion and volume of these patients were ultrasonographically assessed preoperatively, one month after surgery and six months after surgery. Results The surgical procedures were performed successfully without conversion or serious perioperative complications. Ultrasonography showed no angulation or distortion of the vas deferens on the surgical side during a six-month follow-up period. Similarly, there were no perioperative changes in testicular perfusion or volume. Conclusion Our experience suggests that the single-port LPEC technique can be safe and effective in pediatric patients with an inguinal hernia and that this technique does not affect the orientation of the vas deferens or testicular perfusion or volume. Figure Suturing was performed extraperitoneally.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>26776746</pmid><doi>10.1016/j.jpurol.2015.11.006</doi></addata></record> |
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subjects | Child, Preschool Hernia, Inguinal - surgery Herniorrhaphy - methods Humans Infant Laparoscopic percutaneous extraperitoneal closure Laparoscopy - methods Male Organ Size Pediatric inguinal hernia Pediatrics Peritoneum Regional Blood Flow Retrospective Studies Single port Testis - anatomy & histology Testis - blood supply Ultrasonography Ultrasound sonography Urology Vas deferens Vas Deferens - diagnostic imaging |
title | Effects of single-port laparoscopic percutaneous extraperitoneal closure on the orientation of the vas deferens and testicular perfusion and volume: Experience from a single center |
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