The midline preperitoneal approach to orchiopexy

J. B. Hunt, R. Witherington, A. M. Smith

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


The midline preperitoneal approach has been used to facilitate delivery of 42 high undescended testicles into a suitable scrotal position. The gonads were situated preoperatively either within the abdomen (59.5%) or in a high inguinal position (40.5%). The technique described here has allowed marked lengthening of the spermatic cord and visibly shortened the distance between the spermatic vessel-great vessel juncture and the most dependent portion of the scrotum. It has virtually eliminated the necessity for staged orchiopexy in patients with heretofore difficult to manage cryptorchism. In this series an overall satisfactory anatomic result was achieved in 76.9 per cent of patients.

Original languageEnglish (US)
Pages (from-to)184-189
Number of pages6
JournalAmerican Surgeon
Issue number4
StatePublished - 1981
Externally publishedYes

ASJC Scopus subject areas

  • Surgery


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