Description

Undescended testes, medically known as cryptorchidism, is a common congenital condition affecting newborn males, where one or both testes fail to descend into the scrotum. Early diagnosis and management are crucial to prevent long-term complications such as infertility, testicular malignancy, and psychological concerns. Dr. R K Mishra, a pioneer in minimally invasive surgery, recently conducted a live demonstration of Laparoscopic Assisted Orcheopexy, showcasing the precision, safety, and efficacy of this modern surgical approach. Laparoscopic orcheopexy has transformed the treatment of undescended testes, particularly in cases where the testis is located intra-abdominally or cannot be palpated externally. Procedure Highlights: Diagnostic Laparoscopy: The procedure begins with a thorough laparoscopic evaluation to locate the undescended testis and assess the associated anatomy, including the spermatic vessels and vas deferens. Mobilization of Testis: Using minimally invasive instruments, the testis is carefully mobilized while preserving its blood supply. Creation of Scrotal Pathway: A small inguinal or scrotal incision is made to prepare the pathway for the testis. Orcheopexy: The testis is gently brought down into the scrotum and fixed in its proper position, ensuring long-term stability and functionality. Dr. Mishra emphasized the advantages of the laparoscopic approach: Enhanced visualization of the intra-abdominal structures Reduced risk of injury to vessels and surrounding tissues Minimal postoperative pain and faster recovery Improved cosmetic outcomes with smaller incisions This demonstration not only highlighted surgical technique but also offered valuable insights for trainees and practicing surgeons on patient selection, intraoperative decision-making, and postoperative care. Dr. Mishra’s expertise underscores the importance of laparoscopy as a standard approach for complex cases of undescended testes, improving outcomes and setting new benchmarks in pediatric urology surgery. Conclusion: Laparoscopic Assisted Orcheopexy, as demonstrated by Dr. R K Mishra, represents a significant advancement in the management of undescended testes. The procedure combines the precision of minimally invasive surgery with excellent functional and cosmetic results, making it the preferred choice for pediatric surgeons worldwide.