RESUMO
The use of laparoscopy in the management of the clinically impalpable testes has been accepted as the standard procedure of choice. However, many techniques have been described to bring the mobilized testes to the scrotum. In this study a new approach to deliver the mobilized testis to the scrotum is described. The aim of this study is to evaluate the use of a fourth scrota-peritoneal port for the delivery of the mobilized testes without inguinal incision. 43 non palpable intra-abdominal undescended testes are the material of this work. We have used a trans-scrotal port for extraction of the mobilized testes, without inguinotomy. In this study we have delivered the mobilized testes to the scrotum through a scrota-peritoneal port no 10 in 28 cases and thrqugh the radially expanding trocar system [Step port] in 15 cases. The results of this study showed that the scrota-peritoneal port allowed meticulous extraction of the dissected testis, undervision, without any trauma to the testis and without the need for inguinotomy. In conclusion, the use of a fourth scrotoperitoneal port, makes complete laparoscopic orchidopexy possible and in addition, is safe and easy to perform