Early insertion of trans-scrotal port during laparoscopic orchidopexy: a new concept.

Laparoscopic orchidopexy has become the routine tool in managing abdominal testes. Many techniques have been used to deliver the dissected testis to the scrotal position; a trans-scrotal port is one of them. We present a technique in which the trans-scrotal port is inserted early on, and used not only for testis delivery but also to aid the testicular dissection. We used the technique for 15 abdominal testes in 13 boys and it was safe, and very helpful in dissecting the vascular pedicle to higher levels in an ergonomically easier plane. In addition, it helped in establishing the tract and eventually guiding the dissected testis to the desired scrotal position (12 low and 3 mid-scrotal).