Yalinkaya A, Yayla M. Laparoscopy-assisted transinguinal extracorporeal gonadectomy in six patients with androgen insensitivity syndrome.
Fertil Steril 2003;
80:429-33. [PMID:
12909509 DOI:
10.1016/s0015-0282(03)00666-6]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVE
To describe a new surgical technique to treat prophylactic gonadectomy in patients with androgen insensitivity syndrome.
DESIGN
Prospective study. University hospital.
PATIENT(S)
Six patients with androgen insensitivity syndrome.Laparoscopy-assisted transinguinal or suprapubic extracorporeal gonadectomy.
MAIN OUTCOME MEASURE(S)
Accessibility, operation time, and cost-effectiveness.
INTERVENTION(S)
Laparoscopy-assisted transinguinal extracorporeal gonadectomy under general anesthesia was performed successfully, with no complications, in all patients as a one-day procedure. The operation times were 12 to 22 minutes (average, 16 minutes). Histopathologic examination revealed testicles in all cases. The cost of each operation was approximately dollar 500 to dollar 1000.
CONCLUSION(S)
Laparoscopy-assisted transinguinal or suprapubic and extracorporeal gonadectomy has several advantages over laparotomy and operative laparoscopy, including short operating time, safety, simplicity, and cost-effectiveness.
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