By making a reservation in advance, young patients with cryptorchidism can get consultation, undergo surgery, and discharge on the same day. Patients do not have to return to the hospital for additional sterilization.
We would like to explain about one of the prominent advantages of laparoscopic orchiopexy. Laparoscopic orchiopexy involves three openings to perform surgery. Depending on the surgeon’s experience, surgical scar may be visible or not visible.
These images were taken right after the laparoscopic orchiopexy at our hospital.
Surgical scar is invisible. Reducing the amount of scar is not the purpose of surgeries. The priorities of surgeries should be accuracy, safety, and preventing recurrence.
Above images are young patients with surgical scars after undergoing orchiopexy and hernia repair at other hospitals. Re-operation (laparoscopic surgery) was performed due to the recurrent hernia. Only scar from the previous surgery is showing. Surgical scar from laparoscopic hernia repair cannot be seen.
If larposcopic surgery was performed in the first place, simultaneous orchiopexy and hernia repair would have been conducted, preventing recurrence and leaving no surgical scars.
Pediatric surgery is hard to perform when operating room is not equipped with the right instruments. However, the most important factor is the doctor’s clinical experience and surgery skills. At Dam So Yu Hospital, we have two pediatric anesthesia specialists, taking charge of anesthesia.
When it comes to pediatric surgeries, it is important that surgeries are completely asepsis.
This is why we use disposable sterilization wrap.
When conducting clean surgery, antibiotics are not injected. It’s because surgery is carried out completely asepsis.
We do not inject antibiotics before carrying out surgery and no inflammation is caused.
When it comes to pediatric hernia laparoscopic surgery, the laparoscopic system is very important.
The chance of having cryptorchidism, undescended testis is higher if the child is premature or under-weight. After 3 months of birth, testosterone of blood concentration rapidly increases. During this period, the testicle descended. When the child turns the age of 1, the percentage of testicle descend is about 0.8% and during puberty and adulthood, change does not occur. It simply means that the natural stage of descendent will no longer occur after a certain period.
The deeper testicle is placed in the abdominal, the more damage it does. After the age of one year and six months, a lot of changes in the cell happen. This is why the treatment should be done around the age of one before the body starts going through changes. If cryptorchidism or undescended testicle does not get treated, it could result in sterility and psychological problems may occur after the patient is grown up.
It also increase the chance of having testicular cancer so surgical repair to descend the testis is crucial.
It is considered that best time to get surgical treatment is before and after the age of one. If it is accompanied by hernia then surgical repair needs to be done as soon as possible. Dam So Yu Hospital is the only hospital in Korea that performs laparoscopic orchiopexy.
For pediatric surgery specialists, orchiopexy is not a difficult surgery to perform. The surgery procedures consist of exfoliating the testicle artery, and the passage that sperm transport then descending the testicle to scrotum. This is why surgery only takes around 25~30 minutes.