Abstract
Background
The advantages and disadvantages of the two types of operation were discussed by comparing the clinical efficacy of modified bianchi orchiopexy(MBO trans-scrotal midline incision ) and traditional laparoscopic orchiopexy (TLO).
Methods
A retrospective analysis was conducted on 100 cases of palpable cryptorchidism admitted to our hospital from October 2021 to October 2022. Patients were categorized into the MBO group (n = 50) and TLO group (n = 50) based on the surgical approach. The differences in the rate of operation success,operation time,hospitalization expenses and postoperative complications were compared between the two groups.
Results
The MBO group demonstrates a surgery success rate of 94%, while the TLO group achieves a success rate of 96%, with no statistically significant difference (P > 0.05). The differences in surgical duration and hospitalization expenses between the two groups are statistically significant(P < 0.05). Regarding postoperative complications, the MBO group exhibits 2 cases of testicular retraction, and the TLO group has 3 cases, but the difference is not statistically significant (P > 0.05). Neither group of patients experiences testicular atrophy, inguinal hernia, hydrocele, scrotal hematoma, nor encounters poor wound healing.
Conclusion
Both surgical methods are equally safe and effective. The transscrotal incision offers advantages in terms of surgical duration,hospitalization expenses and aesthetic appeal compared to the traditional laparoscopic surgery incision, aligning more with the concept of minimally invasive procedures,thus warranting clinical promotion.