Choice of surgical tactics in children with abdominal cryptorchidism
Cryptorchidism is the most common genital anomaly that requires the timely surgical correction. The results of surgical management do not fully satisfy not only surgeons, but also patients and their parents. The aim of the study was to determine the tactics of surgical treatment of children with the abdominal form of cryptorchidism on the base of results of diagnostic laparoscopy.The study is based on the results of surgery of 80 children with abdominal form of cryptorchidism: laparo- scopic interventions were made in 21 (26.25%) children and conventional ones - in 59 (73.75%) of them. Among the conventional surgical interventions, the Petriwalski-Schoemaker operation was done in 41(69.5%) children. The results of two-step laparoscopic intervention (Fowler-Stephens operation) are bet- ter than one-step operation, but this difference is not significant (p>0.05).Laparoscopy lets to choose the adequate tactics of surgical management of children with the abdominal form of cryptorchidism - one- or two-step intervention, but the method of bringing down of testicle (laparoscopic or conventional) depends on surgeons’ choice and opportunities of hospital.