You have accessJournal of UrologyPediatrics & Reconstruction1 Apr 2011V1707 SINGLE INCISION LAPAROSCOPIC SURGERY (SILS) IN CHILDREN: INITIAL EXPERIENCE Yaser El-Hout, Rodrigo Romao, Bryce Weber, Tarek H. El-Ghazaly, and Walid A. Farhat Yaser El-HoutYaser El-Hout Toronto, Canada More articles by this author , Rodrigo RomaoRodrigo Romao Toronto, Canada More articles by this author , Bryce WeberBryce Weber Toronto, Canada More articles by this author , Tarek H. El-GhazalyTarek H. El-Ghazaly Toronto, Canada More articles by this author , and Walid A. FarhatWalid A. Farhat Toronto, Canada More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.2032AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Minimally invasive surgery is evolving in the direction of single incision procedures aiming to reduce morbidity and optimizing cosmesis. This trend is mainly adopted in adult urology, supported by a parallel surge in technology and instrumentation. A similar adoption of SILS in pediatric urology is slow and challenged by anatomically limited working space, unfavorable ergonomics and suboptimal instruments. Nonetheless, we present our initial experience in pediatric SILS by showing its feasibility for staged orchidopexy, as a common prototype procedure in pediatric urology. METHODS This is a video presentation demonstrating a 1st then a 2nd stage Fowler-Stevens orchidopexies performed through a single umbilical skin incision and 2 fascia entry ports. A 5 mm camera, 5 mm clipper and straight regular instruments were used for 1st stage procedures, while 5 mm camera and 3 mm instrument were used for 2nd stage procedures. RESULTS Since April 2010, 7 SILS orchidopexies were performed. Four patients (pts) had 1st stage procedures (3 unilateral, 1 bilateral), 2 pts had 2nd stage procedures (1 unilateral, 1 bilateral) and 1 pt had an orchiectomy for atrophic testicle. Operative times ranged from 18–25 minutes for 1st stage procedures and 35–50 minutes for 2nd stage procedures. All pts were done as outpatients with no complications. One pt presented for 3 month follow-up post 2nd stage and had normal testicular exam. CONCLUSIONS Our initial experience shows SILS to be a feasible alternative in children with a good short term outcome. Improvement in instruments and solid laparoscopic skills are mandatory to expand its utility for major ablative or reconstructive procedures in children. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e686 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Yaser El-Hout Toronto, Canada More articles by this author Rodrigo Romao Toronto, Canada More articles by this author Bryce Weber Toronto, Canada More articles by this author Tarek H. El-Ghazaly Toronto, Canada More articles by this author Walid A. Farhat Toronto, Canada More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...