Laparoscopic Orchiopexy
Minimally invasive surgical fixation of undescended testis using laparoscopic visualization. Preferred approach for intra-abdominal testes.
Full Definition
Laparoscopic orchiopexy is a minimally invasive surgical technique used to relocate and fix undescended testes in the scrotum using laparoscopic visualization and instrumentation. This approach is particularly valuable for intra-abdominal testes that cannot be palpated on physical examination. The procedure involves laparoscopic exploration to locate the testis, assessment of the spermatic vessels and vas deferens, and either single-stage or staged (Fowler-Stephens) mobilization depending on the vessel length and testicular viability. The technique offers superior visualization of intra-abdominal anatomy, smaller incisions, and potentially better outcomes for high undescended testes compared to open approaches.
Usage
Usage note: Specify whether single-stage or staged approach was used and document vessel adequacy.
In Context
- "Laparoscopic orchiopexy was performed with adequate mobilization achieved for tension-free placement in the scrotum." — Operative report
- "Two-stage laparoscopic orchiopexy was planned given the short spermatic vessels and high position of the testis." — Surgical planning note