Combined laparoscopic and microsurgical techniques for testicular autotransplantation: is this still an evolving technique?
Testicular autotransplantation is an advanced technique for the correction of high intra-abdominal testicles with inadequate vascular length for repositioning in the scrotum. In the past, surgeons have often avoided this approach due to the extended operative time and the requirement for microsurgical equipment and training. Surprisingly, this procedure remains rare despite the fact that autotransplantation is sometimes the most viable option to relocate the testicle. Further, current advances in laparoscopic surgery allow for testicular harvesting with minimal morbidity and maximal vascular pedicle length. Here, the evolution and an approach combining these two techniques implemented successfully in five patients are presented.
Kelley
Brian P
BP
Department of Plastic Surgery, Baylor College of Medicine, Houston, Texas 77030, USA.
Higuera
Stephen
S
Cisek
Lawerence J
LJ
Friedman
Jefferey
J
Heller
Lior
L
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D003131:Combined Modality Therapy; D003456:Cryptorchidism / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008866:Microsurgery / Q000379:methods*; D012039:Regional Blood Flow / Q000502:physiology; D013737:Testis / Q000098:blood supply / Q000601:surgery*; D013997:Time Factors; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler