EXPERIENCE OF TREATMENT INTRA-ABDOMINAL TESTIS BY STAGED LAPAROSCOPIC TRACTION ORCHIOPEXY BY SHEHATA TECHNIQUE dr.aleksmaksymenko@gmail.com

 

EXPERIENCE OF TREATMENT INTRA-ABDOMINAL TESTIS BY STAGED LAPAROSCOPIC TRACTION ORCHIOPEXY BY SHEHATA TECHNIQUE

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Ukraine

Oral or Poster

Aim. To investigate the effectiveness of the treatment of the intrabdominal testis using staged laparoscopic traction orchiopexy by Shehata technique

Between 2022 and 2025, 12 boys aged 1 to 16 years underwent surgery. One patient underwent video-assisted one-stage orchiopexy and one underwent two-stage orchiopexy; the second stage was performed through inguinal canal. Ten patients underwent Shehata technique – the average age was 14 months. One patient was diagnosed with bilateral cryptorchidism.

The duration of the first stage lasted 32,5 min. After visualizing the testicle, we immediately sutured it behind the parenchyma with braided suture Ethibond 2/0, and performed traction, thereby preserving two working hands for a gentler dissection of the spermatic cord elements, completing fixation to the contralateral anterior superior iliac spine. The second stage was performed exactly after 8 weeks. The average duration of the operation was 45,0 min. In all cases, orchiopexy was performed by passing the testicle through the medial inguinal fossa (Prentiss maneuver), thereby creating a direct path and gaining a minimum 2-3 cm of spermatic cord length. We did not observe any intraoperative or postoperative complications and testicular atrophy.

Staged laparoscopic traction orchiopexy by Shehata technique is technically simple, safe, and fast in the first and second stages. According to our data, performing the second stage after 8 weeks (2 months) and applying the Prentiss maneuver allows for sufficient vascular elongation and performing orchiopexy in the scrotum without tension. This approach can be recommended as a day-case procedure producing an ideal cosmetic result without complications.