Presentation on theme: "Pre-scrotal access in inguinal-scrotal pathologies"— Presentation transcript:
1 Pre-scrotal access in inguinal-scrotal pathologies Dr. GERMAN QUEVEDO P. FACS FAAPPediatric and Urology ServiceJapanese University HospitalSanta Cruz - BoliviaII World Congress of the World Federation of Association of Pediatrics SurgeonsVII Congress of the Federation of Pediatric Surgical Associations of the South Cone of AmericaArgentina
2 OBJETIVES Pre-scrotal access To present an alternative for the inguinal-scrotalpathologiesTo discuss the advantages and disadvantages of this accessTo present our experience with this access
3 Prospective work, from July 2004 to August 2007 MATERIAL AND METHODSProspective work, from July 2004 to August 2007Total: 220 patientsInguinal HerniaInguinal CystsUndescended reticulesHydroceleAcute scrotumTesticular prosthesisTesticular tumorsTesticular torsionAges: from 4 m a 13 y ( medium 4,8 y )All surgeries were done by the same Pediatric Surgeon
4 RESULTS Palpables Undescended Testicules 70% were found in the inferior inguinal chanel30% were found in the medium inguinal chanel80% The aponeurotic fascia was respect100% got a scrotal position80% satisfactory20% scrotal high positionMedium surgical time was 30 min.Controls after 20 months of surgeries80% return 100% successCorionic gonadotrofine
5 RESULTS Inguinal Hernia, Inguinal Cysts, Hydrocele - No relapse were found in any case- 100% were not opened the aponeurosesTesticular tumorsConsidering the tumorals sizes, the surgical time was to shortTesticular torsionImmediate access with minimal mobilization forelement's evaluation
12 Conclusion No manipulation in T. Tumors Short surgical time Minimal learn curveHigh percentage of respecting aponeurosesOnly one incision for UDTsEasy access to the scrotum in UDTsEasy access and quickly evaluation in: Hydrocele, T. TumorsAcute scrotum, Inguinal herniaNo manipulation in T. TumorsExcellent option for people that need to return to physical activityExcellent cosmetic
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