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Pre-scrotal access in inguinal-scrotal pathologies Dr. GERMAN QUEVEDO P. FACS FAAP Pediatric and Urology Service Japanese University Hospital Santa Cruz.

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Presentation on theme: "Pre-scrotal access in inguinal-scrotal pathologies Dr. GERMAN QUEVEDO P. FACS FAAP Pediatric and Urology Service Japanese University Hospital Santa Cruz."— Presentation transcript:

1 Pre-scrotal access in inguinal-scrotal pathologies Dr. GERMAN QUEVEDO P. FACS FAAP Pediatric and Urology Service Japanese University Hospital Santa Cruz - Bolivia II World Congress of the World Federation of Association of Pediatrics Surgeons VII Congress of the Federation of Pediatric Surgical Associations of the South Cone of America Argentina

2 To present an alternative for the inguinal-scrotal To present an alternative for the inguinal-scrotal pathologies pathologies To discuss the advantages and disadvantages of this access To discuss the advantages and disadvantages of this access To present our experience with this access OBJETIVES Pre-scrotal access

3 Prospective work, from July 2004 to August 2007 Total: 220 patients Total: 220 patients Inguinal Hernia 92 Inguinal Cysts 20 Undescended reticules 68 Hydrocele 22 Acute scrotum 9 Testicular prosthesis 3 Testicular tumors 4 Testicular torsion 2 Ages: from 4 m a 13 y ( medium 4,8 y ) All surgeries were done by the same Pediatric Surgeon MATERIAL AND METHODS

4 RESULTS Palpables Undescended Testicules 70% were found in the inferior inguinal chanel 30% were found in the medium inguinal chanel 80% The aponeurotic fascia was respect 100% got a scrotal position 80% satisfactory 20% scrotal high position Medium surgical time was 30 min. Controls after 20 months of surgeries 80% return100% success Corionic gonadotrofine

5 Inguinal Hernia, Inguinal Cysts, Hydrocele - No relapse were found in any case - 100% were not opened the aponeuroses Testicular tumors Considering the tumorals sizes, the surgical time was to short Testicular torsion Immediate access with minimal mobilization for element's evaluation RESULTS

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12  Short surgical time  Minimal learn curve  High percentage of respecting aponeuroses  Only one incision for UDTs  Easy access to the scrotum in UDTs  Easy access and quickly evaluation in: Hydrocele, T. Tumors  Acute scrotum, Inguinal hernia  No manipulation in T. Tumors  Excellent option for people that need to return to physical activity  Excellent cosmetic Conclusion

13 Orchidopexy??


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