207 A SINGLE CENTRE EXPERIENCE OF SINGLE PORT SURGERY (SPS) FOR INTRA-ABDOMINAL TESTICULAR PROCEDURES
Snigdha Reddy1, Kathryn Ford1, Hannah Cornwall2, Hugh Grant1
1Oxford University Hospital, Oxford, United Kingdom. 2Oxford University, Oxford, United Kingdom

Abstract

AIM: Single port surgery (SPS) has been in use for over 10 years, however has not been widely adopted or reported in the paediatric population. This study aimed to report one centre’s experience of SPS for intra-abdominal testicular procedures.

 

METHODS: Intra-abdominal SPS procedures were identified from a prospectively kept database (2009 – 2017). Data included: procedure, length of stay, conversion, complications and operative time.

 

MAIN RESULTS:  10 patients underwent testicular SPS over the nine-year period (Table 1). Median length of stay was 0 (range 0-4 days). 20% (n=2) were converted. One patient developed a wound infection. There were no readmissions.

 

Overall mean operative time (60.5mins +/- 9.8mins) was comparable to reported SPS literature and three port techniques. On routine follow-up, the umbilical incisions were almost invisible.

CONCLUSIONS: Paediatric SPS is underreported in the European literature. This series describes the technique to be simple, with a low complication rate and good cosmesis.

TABLE 1: Patients who have undergone SPS for intra-abdominal testes

 

Procedure

Number of patients

Conversion to open

Complications

 
 

1st stage Fowler Stephens

2

1

0

 

2nd stage Fowler Stephens

3

0

1 (wound infection)

 

One stage orchidopexy

2

1

0

 

Orchidectomy

3

0

0

 

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