Inguinal ectopia of the testicle after hernia repair in children
Abstract
Introduction. Inguinal ectopic testis is a rare complication after inguinal hernia repair. And in modern literature there are a small number of articles devoted to this problem.
Purpose of the study. To study the mechanisms of testicular elevation after surgery for inguinal hernia in children, and methods of treating this complication.
Materials and methods. A retrospective analysis of the medical records of male children who underwent inguinal plastic surgery in the period from January 2018 was carried out on the basis of the Children's Children's Clinical Hospital. until December 2023 Those who underwent subsequent orchiopexies for ipsilateral cryptorchidism were identified. Cryptorchidisms that were misdiagnosed were excluded.
Results. A total of 1140 boys with inguinal hernias were treated, of which 978 (86%) were operated on laparoscopically using the PIRS technique, and 162 (14%) underwent open hernia repair. In 9 (0.7%) children, an ectopic testicle in the groin was detected after surgery. During orchiopexy, extensive adhesions and scars in the inguinal canal were found only in 2 cases after open plastic surgery. The processus vaginalis remained intact after laparoscopic repair and partially after open hernia repair.
Conclusion. Ectopic testicles in patients undergoing inguinal hernia repair can be successfully treated with orchiopexy performed through the inguinal approach.
About the Authors
D. S. Zolotukhin
South-Urals State Medical University;
Chelyabinsk Regional Children's Clinical Hospital
Russian Federation
Russian Federation
Chelyabinsk
O. S. Pavlova
Chelyabinsk Regional Children's Clinical Hospital
Russian Federation
Russian Federation
Chelyabinsk
I. A. Filatov
Chelyabinsk Regional Children's Clinical Hospital
Russian Federation
Russian Federation
Chelyabinsk
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Review
For citations:
Zolotukhin D.S., Pavlova O.S., Filatov I.A. Inguinal ectopia of the testicle after hernia repair in children. Title in english. 2024;19(3):9-11. (In Russ.)
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