caa a22 4500 465771599 CHVBK 20180323111930.0 cr unu---uuuuu 170327e19900101xx s 000 0 eng 10.1007/BF00179630 doi (NATIONALLICENCE)springer-10.1007/BF00179630 Staged orchidopexy: simplifying the second stage [Elektronische Daten] [F. Ferro, A. Iñon, S. Caterino, A. Lais, A. Inserra] In some cases high undescended testes cannot be brought into the scrotum by means of a standard orchidopexy, but require different procedures such as autotransplantation, Fowler-Stephens orchidopexy, or staged orchidopexy. Over a period of 3 years 9 months the authors employed staged orchidopexy in 15 cases; 14 of these have already undergone the second stage. In 6 cases a modified Corkery operation was performed: after anchoring the gonad to the tuberculum pubis (first stage), a Silastic sheet is placed to cover the testis and cord, suturing it beneath the internal oblique muscle and external oblique fascia. This sheet of Silastic is not placed around the whole testis, as originally described by Corkery, but lies on the gonad and cord separating them from the overlying layers. As the purpose of this modification is to create a solid plane against vas/vessel injury during the second stage, the sheet of Silastic used is much thicker than the one originally described. In the 5 children who have undergone the modified second stage so far, isolation of the testis during the second procedure has proved easier and safer with respect to possible cord injuries. Our data indicate better results using this technique, compared to a standard staged procedure, with regard to secondary testicular atrophy. Springer-Verlag, 1990 Cryptorchidism nationallicence Orchidopexy nationallicence Staged orchidopexy nationallicence Ferro F. Department of Pediatric Surgery, "Bambino Gesù” Children's Hospital, Piazza S. Onofrio 4, I-00165, Roma, Italy aut Iñon A. Department of Pediatrics, Section of Pediatric Surgery, Italian Hospital of Buenos Aires, Buenos Aires, Argentina aut Caterino S. First Institute of Surgery, University of Rome "La Sapienza”, Rome, Italy aut Lais A. Department of Pediatric Surgery, "Bambino Gesù” Children's Hospital, Piazza S. Onofrio 4, I-00165, Roma, Italy aut Inserra A. Department of Pediatric Surgery, "Bambino Gesù” Children's Hospital, Piazza S. Onofrio 4, I-00165, Roma, Italy aut Pediatric Surgery International Springer-Verlag 5/1(1990-01-01), 10-12 0179-0358 5:1<10 1990 5 383 https://doi.org/10.1007/BF00179630 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00179630 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ferro F. Department of Pediatric Surgery, "Bambino Gesù” Children's Hospital, Piazza S. Onofrio 4, I-00165, Roma, Italy aut NATIONALLICENCE 700 1- Iñon A. Department of Pediatrics, Section of Pediatric Surgery, Italian Hospital of Buenos Aires, Buenos Aires, Argentina aut NATIONALLICENCE 700 1- Caterino S. First Institute of Surgery, University of Rome "La Sapienza”, Rome, Italy aut NATIONALLICENCE 700 1- Lais A. Department of Pediatric Surgery, "Bambino Gesù” Children's Hospital, Piazza S. Onofrio 4, I-00165, Roma, Italy aut NATIONALLICENCE 700 1- Inserra A. Department of Pediatric Surgery, "Bambino Gesù” Children's Hospital, Piazza S. Onofrio 4, I-00165, Roma, Italy aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/1(1990-01-01), 10-12 0179-0358 5:1<10 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer