R. Domini et al., MICROVASCULAR AUTOTRANSPLANTATION OF THE TESTIS - THE REFLUO TECHNIQUE, European journal of pediatric surgery, 7(5), 1997, pp. 288-291
We think that the microvascular orchidopexy is the best technique for
the treatment of the high intraabdominal testis. To prevent the proble
ms related to the performing of the anastomosis between the spermatic
and the inferior epigastric arteries we changed the traditional way fo
r microvascular orchidopexy performing the venous anastomosis only, re
lying on the collateral deferential circle for the arterial supply; we
called this technique the ''refluo testicular auto-transplantation''.
We supported our idea with an experimental investigation in rats and
rabbits, with which we confirmed the efficacy of our proposal. This or
iginal technique, performed in 41 cases, allowed us to gain three impo
rtant ends: a) reduction of the age at operation (under two years); b)
reduction of the operating time (2 hours); c) improved success rate c
ompared with the Fowler-Stephens technique or staged orchidopexy.