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
Hauptverfasser: Li, Canqiang, Xu, Le, Peng, Yonghui, Liang, Xuankun, Lin, Weibin
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container_end_page 170.e5
container_issue 3
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container_title Journal of pediatric urology
container_volume 12
creator Li, Canqiang
Xu, Le
Peng, Yonghui
Liang, Xuankun
Lin, Weibin
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 &amp; 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. 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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. 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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 &amp; 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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