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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 8 No. 1 (2017)

Role of laparoscopy in the management of impalpable testis in children: Approach in our country

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2017
CONTENTSVolume 08Number 1January 2017
Editorial
Childhood malignancies in Bangladesh: Challenges and solutions
AKM Amirul Morshed
01
Review Articles
Choledochal cyst and new Era in its management
Kaniz Hasina
28
Original Articles
Comparison of dartos flap and dartos flap plus spongioplasty to prevent fistula in tubularized incised plate urethroplasty
Sahadeb Kumar Das, Kaniz Hasina, Md Ashraf Ul Huq, Jaglul Gaffer Khan
05
Evaluation of postoperative wound infection in children
Partha Sarathy Majumder, Anuradha Karmaker, Md Mahbubul Alam, Lutfan Nessa
11
Role of laparoscopy in the management of impalpable testis in children: Approach in our country
Muhammed Moinul Huque, Ashraf Ul Huq, Kaniz Hasina, Md Jafrul Hannan
15
Laparoscopic assisted transanal endorectal pull-through procedure for Hirschsprung’s disease in children: Our experience
Md Mozammel Hoque, Md Jafrul Hannan
20
Gastric outlet obstruction in children secendery to corrosive ingestion
Zahid Boksh, Kaniz Hasina, Ansar Ali, Golam Kibria, Sharifuzzaman, Masfiqur Rahman
24
Case Reports
Vaginal yolk sac tumour in infant : A rare case report
AKM Amirul Morshed, Zohora Jameela Khan, Habiba Khatun, Delowar Hossain, Iffat Ara Shamsad, Ashraf Ul Huq, Shahnoor Islam
36
Typhoid ulcer causing massive per-rectal bleeding : A rare case report
Musrat Rahman Deeba, Ahmed Sayeed, Imran Rahman Sabbir
38
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Muhammed Moinul HuqueDepartment of Pediatric Surgery, Dhaka Medical College & Hospital (DMCH), Dhaka, Bangladesh
  • Ashraf Ul HuqDepartment of Pediatric Surgery, Dhaka Medical College & Hospital (DMCH), Dhaka, Bangladesh
  • Kaniz HasinaDepartment of Pediatric Surgery, Dhaka Medical College & Hospital (DMCH), Dhaka, Bangladesh
  • Md Jafrul HannanDepartment of Pediatric Surgery, Chattagram Maa-O-Shishu Hospital Medical College, Chittaagong, Bangladesh

Keywords

Impalpable testis Cryptorchidism Undescended testis

Abstract

Introduction: Treatment of the cryptorchid testicle is essential due to the increased risk of infertility and malignancy as well as the risk of testicular trauma and psychological stigma on patients and their parents. Approximately 20% of cryptorchid testicles are impalpable. In these cases, the laparoscopy is the method of choice for both diagnostic and theraputic requirements. Materials and Methods: Between 1, April 2009 to 31, October 2010, 37 testicles of 30 patients were submitted to diagnostic laparoscopy for impalpable testes. This was a prospective study to evaluate the diagnostic accuracy and therapeutic outcomes of use of laparoscopy in impalpable testes. Age, operative techniques, complications, the cosmetic aspect and outcomes were also recorded. Results: Mean age was 6.64 ± 3.96 years and 23% cases were bilateral. Twenty one cases had primary orchiopexy, 9 had 1 st stage Fowler-Stephens (FS) procedure, 3 had 2nd stage FS, 13 cases needed inguinal exploration and there was I vanishing testicles. Average operating time was 40 minutes for diagnostic laparoscopy, 90 minutes for unilateral and 120 minutes for the bilateral cases. Two of the patients had late postoperative complications e.g. one uretereral obstruction and one recurrence. Conclusions: In pediatric age group, the laparoscopic approach is safe and feasible. The purpose of study is to observe whether the laparoscopic procedure presents excellent results in terms of diagnosis and therapy of the impalpable testis.

Journal of Paediatric Surgeons of Bangladesh (2017) Vol. 8 (1): 15–19

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