Comparison of scrotal and inguinal orchiopexy for palpable undescended testis: a meta-analysis of randomized controlled trials
Pediatric Surgery International(2024)
摘要
Scrotal and inguinal orchiopexy are two commonly used surgical approaches for palpable undescended testis (UDT), each with distinct advantages. However, the optimal approach remains a matter of debate, warranting a comprehensive meta-analysis of randomized controlled trials (RCTs) to guide clinical decision-making. A comprehensive literature search was conducted, adhering to PRISMA guidelines, to select RCTs comparing scrotal and inguinal orchiopexy for palpable UDT. Eight RCTs were selected for meta-analysis. Outcome measures included operative time, hospitalization duration, total complications, wound infection or dehiscence, testicular atrophy or hypotrophy, and testicular re-ascent rate. The evaluation of the study’s quality was conducted by utilizing the revised Cochrane risk-of-bias tool. Scrotal orchiopexy showed significantly shorter operative time compared to the inguinal approach (WMD: − 15.06 min; 95
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关键词
Undescended testis,Orchiopexy,Scrotal approach,Inguinal approach,Meta-analysis
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