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WJOLS

Laparoscopic Orchidopexy without Division of Spermatic Vessels using a Neoinguinal Canal Approach

intracorporeal suturing (Fig. 8). The testis was brought out additional length that at times would obviate vessel ligation.
into the scrotum and the length checked by deflating the Once the testis was freely lying in the newly created
abdomen (Fig. 9). Releasing the pneumoperitoneum gives subdartos pouch, scrotal incision was closed with catgut

Fig. 3: Adequacy of mobilization being checked by pulling the Fig. 6: Testis grasped and taken out through the new ring. The
testis to the opposite ring internal ring can be seen laterally

Fig. 4: Endodissector was driven out of the scrotal incision Fig. 7: Testis is entirely out through the new ring

Fig. 5: Kelly's forceps was introduced from the scrotal incision Fig. 8: The neo-ring narrowed using one or two
through this new ring into the abdomen intracorporeal suturing
World Journal of Laparoscopic Surgery, September-December 2013;6(3):121-126 123