Laparoscopic Treatment of External Genital Surgery and Coagulation

Lap Trainer Box
 

Treatment Of External Genital Surgery

Approximately 3-6% of term newborn males have a non-descended testicle on. After completing the first year of life, almost 2% of boys still have one undescended testicle requiring treatment, with approx. 10-20% of mal-descended testicles are not palpable. Because of the expected functional and organic damage to retained testicles to demand diagnostics and therapy by the end of the second year of life. The works on cryptorchidism diagnostics and localization diagnosis of non-palpable testicles in children using imaging methods has proven to be unreliable and, in some cases, too invasive.

Laparoscopic Training simulation with Lap Trainer Box is a prudent choice.

Diagnosis of Non-Palpable Testicles

In 1976, introduced laparoscopy to diagnose non-palpable testicles introduced. Own comparative study between sonography, Magnetic resonance imaging (MRI) and laparoscopy in 106 boys with non-palpable testicles demonstrated the clear superiority of laparoscopy. While the accuracy of both sonography and MRI was only 58%, laparoscopy achieved a diagnostic sensitivity of 96%. In addition, laparoscopy offers the opportunity to proceed therapeutically at the same time. In the case of an atrophic testicle, laparoscopic orchiectomy can perform directly. If the testicles well develop, laparoscopically assisted one- or two-stage orchidopexy (Fowler- Stephens) is possible.

Laparoscopy is the method with the greatest diagnostic certainty of the examinations available for the detection or exclusion of an abdominal testicle. Frequently unsuccessful so-called explorative, open interventions for Searching for testicles in the abdomen is therefore unnecessary. Varicocele ligation like testicular retention, the varicocele is one of the gonad disorders that can lead to fertility problems. The incidence of varicocele testis is in the 5% of the normal population and 33% of infertile men.

Prophylactic Therapy

Early or prophylactic therapy for varicoceles recommends, since they can progressively damage to the germ cell epithelium with subsequent deterioration that leads to fertility. If a fertility disorder has already occurred, the treatment can of the varicocele both sperm density and sperm motility are positive influences.

Retrograde Of the Testicular Vein

When using the classic open surgical methods must a relatively high rate (20%) of persistence or recurrence can expect. The alternatives are retrograde or antegrade sclerotherapy of the testicular vein as a minimally invasive treatment method for varicocele testis. The sclerotherapy procedures have persistence (recurrence) rates of 5-10%. The disadvantage of these procedures affects the radiation exposure. Also, several cases of testicular atrophy after antegrade sclerotherapy describes.

Laparoscopic Coagulation

Laparoscopic varicose vein ligation, introduced in 1989, offers the advantage of a microsurgical preparation due to the loupe magnification of the optical system and the possibility of retaining the spermatic artery if the surgeon wishes to do so. Our own experience began in 1991 with laparoscopic coagulation of the testicular artery and vein. Due to a recurrence rate of 25%, we changed our technique and, after severing the spermatic vessels near the inner inguinal ring, achieved a recurrence or persistence rate of 5%.

Conclusion

Due to the high success rate, the low complication rate and the minimal invasiveness, the laparoscopic ligation of the varicocele testis is, in our opinion, preferable to the classic open surgical procedure. The importance of laparoscopic varicocele ligation as a primary step is controversial because of the less invasive nature of sclerotherapy procedures.

Compared to the sclerotherapy techniques are the advantages of the laparoscopic Procedure in avoiding exposure to radiation (children and young people), in the Therapy of a bilateral varicocele as a one-step procedure, in the treatment of a Recurrences or a varicocele in the presence of vascular anomalies.

For more information visit our website: www.gerati.com

 

Comments

Post a Comment

Popular posts from this blog

Laparoscopic Treatment of Inflammatory Diseases with New 3D and 4K UHD Systems

Image
  General and Laparoscopic Surgery Olympus, a leading international manufacturer of state-of-the-art advanced energy instruments and sophisticated imaging systems, aims to offer innovative and safe products and wants to become the best partner for specialists in the field of general and Laparoscopic surgery. Based on close day-to-day collaboration with healthcare professionals, Olympus is committed to continually finding the best solutions for its customers and improving outcomes for patients and society. Laparoscopic Training simulation with Lap Trainer Box is a prudent choice. Procedures Type S Type S is the world's first and only tissue management system that delivers two proven forms of energy to the tissue at the same time: Ultrasonic energy for superior dissection and rapid tissue severing Advanced bipolar energy for fast and safe hemostasis of vessels up to 7mm in diameter The combination connects what belongs together - and sets new standards in the use of ...
Read more

Laparoscopic Surgery and Common Surgical Techniques in Hysterectomy

Image
  A Common Surgical Techniques Hysterectomy is one of the most common surgical techniques used to treat benign uterine diseases. Around 4,077 elective hysterectomies and 207 emergency hysterectomies were performed, which represents 5.8 and 0.9% respectively of the major operations performed in general and clinical-surgical hospitals. During their internship in laparoscopic technique many of them have not received practical training with simulators Laparoscopic Trainer Box . It is the second worldwide cause of procedures major surgical procedures performed on women. More than 600,000 cases are reported each year. In Spain this figure is lower, although it exceeds 150 cases per 100,000 women per year and it is one of the 15 most performed hospital procedures. The highest number of hysterectomies is in the age group 40 to 44 years. Minimum access surgery for the treatment of gynecological diseases was performed in 3.6% of all gynecological operations and 12.9% of all minimum access op...
Read more

Laparoscopic Surgery Evaluation and Technical Base

Image
  Centers Approval The well-being of patients with surgical conditions will depend on the quality of care provided. Although it is true that the concept of quality and the parameters to measure it are a currently debated topic as it implies multiple views of it. No one doubts the importance of quality assurance programs in the practice of surgery. Laparoscopic surgery is an inseparable part of general surgery and its indicators of morbidity and mortality should be evaluated with greater rigor and systematically because it is more complex. Simulations of laparoscopy is significant choice resembling Laparoscopic Needle Holder . Only 3 years ago, Cushieri wrote about this: «while the incidence of important iatrogenic problems has been reduced, iatrogenesis is still present and causes the death of young patients still to take place as a result of laparoscopic surgery performed by processes benign. ' Quality of The Processes There are published papers that show series of 5,000 o...
Read more