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Microvascular autotransplantation of intra-abdominal testes
Progress in Pediatric Surgery
In the period between 1981 and 1987, 23 microvascular autotransplantations of intra-abdominal testes were performed on 18 patients at the Royal Manchester Children's Hospital. Nineteen testes [82.6%] were successfully revascularised; however, four [17.4%] became partially or totally atrophic. Early surgery is recommended--well before the age of 2 years, prior to the onset of testicular damage, in order to reduce the risk of infertility. Although the early results are very encouraging, only long-term, postpuberty follow-up regarding both fertility and malignancy can determine the value of testicular autotransplantation.
Abdomen Adolescent Blood Vessels/*transplantation Child Child, Preschool Cryptorchidism/*surgery Follow-Up Studies Humans Infant Infant, Newborn Male Microcirculation/surgery Testis/*blood supply Time Factors Transplantation, Autologous
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