Chapter 1 of 3 · Fundamentals
Introduction
Introduction and context
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Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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What the experts said
The hybrid approach (laparoscopic visualization followed by open inguinal orchidopexy) may be useful when laparoscopic equipment or experience is limited.
The Arena and Romeo study examined patients from 2012 to 2015 at the University of Messina, asking whether open inguinal orchidopexy is safe compared to laparoscopic vessel-sparing approaches for intraabdominal testes.
The study protocol involved inguinal ultrasound for all patients; if the testicle was not localized, laparoscopic exploration was performed, and if the testicle was seen in the abdomen, an open inguinal approach was used.
The series included 19 patients for a total of 21 orchidopexies.
The study reported zero testicular loss and zero atrophy rate.
One patient required a redo operation for high positioning in the high scrotum.