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- Title
Single scrotal incision orchiopexy versus the inguinal approach in children with palpable undescended testis: a systematic review and meta-analysis.
- Authors
Feng, Shaoguang; Yang, Huajun; Li, Xiang; Yang, Junjia; Zhang, Jie; Wang, Aihe; Lai, Xin-He; Qiu, Yuhui
- Abstract
<bold>Purpose: </bold>We performed a systematic review and meta-analysis to compare the efficacy and safety between single-incision, transscrotal orchidopexy, and the traditional inguinal orchidopexy in children.<bold>Methods: </bold>A systematic search of the electronic databases was conducted to identify studies compared the transscrotal orchidopexy (SO) and inguinal orchidopexy (IO) for children. Parameters, such as operative time, the incidence of patent processus vaginalis, and postoperative complications, including wound infection, testicular atrophy, testicular reascent, hernia, or hydrocele, were pooled and compared by meta-analysis.<bold>Results: </bold>Among the 1376 children with palpable undescended testes (UDTs) included in the eight studies, 697 had received SO and 679 IO. There were shorter operative times with the SO approach compared with IO. However, no significant difference was found between SO and IO in the incidence of patent processus vaginalis and postoperative complications, including wound infection, testicular atrophy, testicular reascent, and hernia.<bold>Conclusion: </bold>SO is a safe and effective surgical approach alternative to IO for pediatric UDTs. Compared with IO, SO has the advantage of shorter operative times. Besides, the incidence of postoperative wound infection may be slightly lower in SO. We suggest that SO should be considered as an acceptable option for children with UDTs.
- Subjects
CRYPTORCHISM; ORCHIOPEXY; JUVENILE diseases; SURGICAL complications; SYSTEMATIC reviews; META-analysis; THERAPEUTICS
- Publication
Pediatric Surgery International, 2016, Vol 32, Issue 10, p989
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-016-3956-4