[Non-palpable XXXX : laparoscopic or inguinal approach?].

@entity1 @entity3202 @entity2357 @entity1062 @entity547
INTRODUCTION: Twenty per cent of the operated @entity1 suffering from cryptorchidisim show no palpable @entity1062 in the physical check-up. The use of a non-palpable @entity1062 in the initial stages is considered to be controversial when deciding between a laparascopic or an inguinal approach. Our aim is to compare the results obtained with these two approaches and evaluate which one of them would be the most relevant as an initial option. MATERIALS AND METHODS: We examined the @entity1 who have been subjected to surgical intervention for non-palpable @entity1062 in the last three years. We had a sample of 53 @entity1 . Bilateral non-palpable @entity1062 were disregarded. In the case of 35 @entity1 the initial approach was through the groins while in 18 of them the approach was laparascopic. Relevant data were recorded, such as the age of the @entity1 , right or left side, surgical findings, need for a laparascopic or groin approach and associated @entity547 . RESULTS: The average age of the @entity1 at the time of the surgical treatment was 3.7 years R (1-13 years). 42% of the @entity1062 were on the right side and 58% on the left. In an initial stage the inguinal approach was used with 35 @entity1 , 2 of these requiring laparascopic exploration due to a non-concluding check-up; it was concluded that they were 2 cases of @entity2357 . An initial laparoscopic approach was used with 18 @entity1 . Internal vessels in the canal were found which required an inguinal approach. In 12 @entity1 normal or @entity3202 @entity1062 were observed. Testicular descent was achieved through the groin in 10 of them while in the remaining 2 a combined approach was adopted. CONCLUSIONS: 80% of the @entity1 subjected to a first laparoscopic approach needed a groin approach later on. 11% of the @entity1 subjected to a first inguinal approach required laparascopic examination. In view of the results obtained, we conclude that inguinal exploration diminishes the need for second procedures.
