Linked Life Data

14974661

Source:http://linkedlifedata.com/resource/pubmed/id/14974661

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2004-2-20
pubmed:abstractText
The diagnostic accuracy of laparoscopy for impalpable testis is well recognized. However, in some cases, laparoscopic findings may be misleading, and a viable gonad may be missed with significant medico-legal implications. From January 1993 to December 2000, 202 patients with 219 impalpable testes were evaluated. In 95 cases, the gonad was immediately visualized, and in 5, the presence of a testis was documented by inserting the scope into the processus vaginalis. In the 119 remaining cases, no gonad was seen while entering the abdomen with the laparoscope. All patients with documented vas and vessels exiting the inguinal ring were surgically explored. Ten testes were found, 8 ectopic, with significant changes in shape and position, and 2 were canalicular. In the absence of hormone stimulation, no testes were found while exploring patients with cord structures coursing a closed inguinal ring and with contralateral hypertrophy. In 1 patient with absent vas and vessels, the testis was found at the lower renal pole while removing a dysplastic kidney. Despite technical refinements and an increase in clinical practice, a small percentage of viable testes may be missed with laparoscopic findings consistent with absent/vanished inguinal testis. Therefore, inguinal exploration is mandatory in all these cases.
pubmed:commentsCorrections
http://linkedlifedata.com/resource/pubmed/commentcorrection/14974661-11051142, http://linkedlifedata.com/resource/pubmed/commentcorrection/14974661-11298038, http://linkedlifedata.com/resource/pubmed/commentcorrection/14974661-1353546, http://linkedlifedata.com/resource/pubmed/commentcorrection/14974661-1977929, http://linkedlifedata.com/resource/pubmed/commentcorrection/14974661-2564795, http://linkedlifedata.com/resource/pubmed/commentcorrection/14974661-7909273, http://linkedlifedata.com/resource/pubmed/commentcorrection/14974661-7914809, http://linkedlifedata.com/resource/pubmed/commentcorrection/14974661-7985321, http://linkedlifedata.com/resource/pubmed/commentcorrection/14974661-8093568, http://linkedlifedata.com/resource/pubmed/commentcorrection/14974661-8100860, http://linkedlifedata.com/resource/pubmed/commentcorrection/14974661-8721168
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
1086-8089
pubmed:author
pubmed:issnType
Print
pubmed:volume
8
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
39-42
pubmed:dateRevised
2011-7-25
pubmed:meshHeading
pubmed:articleTitle
Impalpable testis and laparoscopy: when the gonad is not visualized.
pubmed:affiliation
Department of Surgery, Bambino Gesù Children's Hospital, Rome, Italy. zaccara@opbg.net
pubmed:publicationType
Journal Article