{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T15:01:29Z","timestamp":1785164489736,"version":"3.55.0"},"reference-count":34,"publisher":"Akademiai Kiado Zrt.","issue":"4","license":[{"start":{"date-parts":[[2024,1,28]],"date-time":"2024-01-28T00:00:00Z","timestamp":1706400000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"H\u00e1zi Gyermekorvosok Egyes\u00fclete"},{"name":"Magyar Gyermekseb\u00e9sz T\u00e1rsas\u00e1g"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,1,28]]},"abstract":"<jats:p>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic>\n                    A herelesz\u00e1ll\u00e1si zavarok korszer\u0171 gyermekkori\n                    kezel\u00e9se n\u00e9lk\u00fcl\u00f6zhetetlen a hossz\u00fa t\u00e1v\u00fa morbidit\u00e1s \u2013 infertilit\u00e1s, malignus\n                    heretumorok \u2013 kialakul\u00e1s\u00e1nak elker\u00fcl\u00e9s\u00e9hez.\n                    <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    Az\n                    ell\u00e1t\u00e1si gyakorlat fejleszt\u00e9se \u00e9rdek\u00e9ben vizsg\u00e1latunkban fel k\u00edv\u00e1ntuk t\u00e1rni,\n                    hogy a k\u00f3rk\u00e9p magyarorsz\u00e1gi ell\u00e1t\u00e1sa megfelel-e az aktu\u00e1lis hazai \u00e9s f\u0151bb\n                    nemzetk\u00f6zi, els\u0151sorban eur\u00f3pai ir\u00e1nyelveknek.\n                    <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    Az alap-\n                    \u00e9s szakell\u00e1t\u00e1s felm\u00e9r\u00e9s\u00e9hez 2023-ban online k\u00e9rd\u0151\u00edves vizsg\u00e1latot v\u00e9gezt\u00fcnk a\n                    H\u00e1zi Gyermekorvosok Egyes\u00fclet\u00e9nek, valamint a Magyar Gyermekseb\u00e9sz T\u00e1rsas\u00e1g\n                    tagjainak k\u00f6r\u00e9ben. A v\u00e1laszokat le\u00edr\u00f3 statisztikai m\u00f3dszerekkel elemezt\u00fck.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    A herelesz\u00e1ll\u00e1si zavarok kezel\u00e9s\u00e9t a\n                    felm\u00e9r\u00e9sben r\u00e9szt vev\u0151 alapell\u00e1t\u00f3k (n = 69) eset\u00e9ben els\u0151sorban a szakk\u00e9pz\u00e9s\u00fck\n                    sor\u00e1n tanultak (65,2%), m\u00edg a szakell\u00e1t\u00e1s k\u00e9pvisel\u0151inek k\u00f6r\u00e9ben (n = 56) d\u00f6nt\u0151en\n                    a nemzetk\u00f6zi ir\u00e1nyelvek (66,1%) befoly\u00e1solj\u00e1k. A k\u00e9rd\u0151\u00edvet kit\u00f6lt\u0151 h\u00e1zi\n                    gyermekorvosok 98,6%-a ellen\u0151rzi a her\u00e9k \u00fajsz\u00fcl\u00f6ttkori helyzet\u00e9t, \u00e9s elt\u00e9r\u00e9s\n                    \u00e9szlel\u00e9sekor 88,4%-uk megfelel\u0151 id\u0151ben utalja szakrendel\u00e9sre a gyermeket. Az\n                    orchidopexia optim\u00e1lis idej\u00e9t 66,6%-uk ismeri. A retraktilis her\u00e9k kezel\u00e9se\n                    59,4%-uk ismeretei szerint els\u0151sorban konzervat\u00edv, \u00e9s 60,8%-uk v\u00e9gzi a\n                    pubert\u00e1skorig ut\u00e1nk\u00f6vet\u00e9s\u00fcket. Orchidopexi\u00e1t k\u00f6vet\u0151en 39,1%-uk v\u00e9gzi kamaszkorig\n                    a gondoz\u00e1st. A szakell\u00e1t\u00e1s k\u00e9pvisel\u0151i (98,2%) az orchidopexi\u00e1t a megfelel\u0151\n                    \u00e9letkorra id\u0151z\u00edtik, nem tapinthat\u00f3 her\u00e9k \u00e9szlel\u00e9sekor azonban 28,6%-uk k\u00e9r\n                    preoperat\u00edv ultrahangvizsg\u00e1latot. A magas has\u00fcregi her\u00e9k kezel\u00e9se els\u0151sorban\n                    (82,1%) a minim\u00e1linvaz\u00edv Shehata-m\u0171t\u00e9ttel t\u00f6rt\u00e9nik.\n                    <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic>\n                    A herelesz\u00e1ll\u00e1si zavarok hazai kezel\u00e9se\n                    d\u00f6nt\u0151en az aktu\u00e1lis ir\u00e1nyelvek szerint zajlik, mindemellett az alapell\u00e1t\u00e1s\n                    k\u00e9pvisel\u0151inek ismeretei n\u00e9h\u00e1ny fontos k\u00e9rd\u00e9sben \u2013 a m\u0171t\u00e9ti ell\u00e1t\u00e1s optim\u00e1lis\n                    id\u0151z\u00edt\u00e9se, retraktilis her\u00e9k \u00e9s orchidopexi\u00e1n \u00e1tesett gyermekek gondoz\u00e1sa \u2013\n                    hi\u00e1nyosak. A gyermekseb\u00e9szeti szakell\u00e1t\u00e1s modern szeml\u00e9let\u0171, korszer\u0171\n                    minim\u00e1linvaz\u00edv technik\u00e1k alkalmaz\u00e1s\u00e1val zajlik, ultrahangvizsg\u00e1lat azonban sok\n                    esetben feleslegesen t\u00f6rt\u00e9nik.\n                    <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    A herelesz\u00e1ll\u00e1si\n                    zavarok kezel\u00e9s\u00e9re vonatkoz\u00f3 ismeretek sz\u00e9lesebb k\u00f6r\u0171 terjeszt\u00e9se sz\u00fcks\u00e9ges az\n                    orsz\u00e1gos szint\u0171, minden tekintetben korszer\u0171 ell\u00e1t\u00e1s megval\u00f3sul\u00e1s\u00e1hoz \u00e9s a\n                    hossz\u00fa t\u00e1v\u00fa morbidit\u00e1s cs\u00f6kkent\u00e9s\u00e9hez. Orv Hetil. 2024; 165(4): 138\u2013146.\n                  <\/jats:p>","DOI":"10.1556\/650.2024.32957","type":"journal-article","created":{"date-parts":[[2024,1,28]],"date-time":"2024-01-28T11:19:27Z","timestamp":1706440767000},"page":"138-146","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":2,"title":["A herelesz\u00e1ll\u00e1si zavarok kezel\u00e9se Magyarorsz\u00e1gon \u2013 hol tartunk most?"],"prefix":"10.1556","volume":"165","author":[{"given":"Alexandra","family":"Varga","sequence":"first","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, Gyermekgy\u00f3gy\u00e1szati Klinika \u00e9s Gyermekeg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, Gyermekseb\u00e9szeti Oszt\u00e1ly Szeged, Kor\u00e1nyi fasor 15\u201337., 6725 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00e9ka","family":"Tardi","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, Gyermekgy\u00f3gy\u00e1szati Klinika \u00e9s Gyermekeg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, Gyermekseb\u00e9szeti Oszt\u00e1ly Szeged, Kor\u00e1nyi fasor 15\u201337., 6725 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tam\u00e1s","family":"Kov\u00e1cs","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, Gyermekgy\u00f3gy\u00e1szati Klinika \u00e9s Gyermekeg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, Gyermekseb\u00e9szeti Oszt\u00e1ly Szeged, Kor\u00e1nyi fasor 15\u201337., 6725 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Elder JS. Surgical management of the undescended testis: recent\n                    advances and controversies. Eur J Pediatr Surg. 2016; 26:\n                    418\u2013426.","DOI":"10.1055\/s-0036-1592197"},{"key":"R2","unstructured":"Radmayr C, Bogaert G, Burgu B, et al. EAU guidelines on paediatric\n                    urology. European Association of Urology, EAU Guidelines Office, Arnhem,\n                    2022."},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Cobellis G, Noviello C, Nino F, et al. Spermatogenesis and\n                    cryptorchidism. Front Endocrinol (Lausanne) 2014; 5: 63.","DOI":"10.3389\/fendo.2014.00063"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Shepard CL, Kraft KH. The nonpalpable testis: a narrative review. 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Eg\u00e9szs\u00e9g\u00fcgyi szakmai ir\u00e1nyelv \u2013 A herelesz\u00e1ll\u00e1si zavar, illetve a nem\n                    tapinthat\u00f3 here kezel\u00e9s\u00e9r\u0151l.] E\u00fc K\u00f6zl. 2021; 71: 2519\u20132532.\n                    [Hungarian]"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Radmayr C, Dogan HS, Hoebeke P, et al. Management of undescended\n                    testes: European Association of Urology\/European Society for Paediatric Urology\n                    guidelines. J Pediatr Urol. 2016; 12: 335\u2013343. Erratum: 2017; 13(2):\n                    239.","DOI":"10.1016\/j.jpurol.2017.02.011"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Varga A, Kardos D, Radv\u00e1nyi \u00c1, et al. Medium-term results of staged\n                    laparoscopic traction orchiopexy for intra-abdominal testes: a multicenter\n                    analysis. J Pediatr Surg. 2023; 58: 2020\u20132026.","DOI":"10.1016\/j.jpedsurg.2023.04.013"},{"key":"R9","doi-asserted-by":"publisher","unstructured":"Aubert O, Zaidan H, Garnier H, et al. European Paediatric Surgeon\u2019\n                    Association Survey on the adherence to EAU\/ESPU guidelines in the management of\n                    undescended testes. (Presentation.) 24th European Paediatric Surgeons\n                    Association Annual Congress. Izmir, 2023. Eur J Pediatr Surg. 2023 Nov 28.\n                        10.1055\/s-0043-1777338. [Epub ahead of\n                    print]","DOI":"10.1055\/s-0043-1777338"},{"key":"R10","unstructured":"Ministry of Welfare. 51\/1997. (XII. 18.) NM decree on services and\n                    screening tests for the prevention and early detection of diseases available\n                    through national health insurance. [51\/1997. (XII. 18.) NM rendelet a k\u00f6telez\u0151\n                    eg\u00e9szs\u00e9gbiztos\u00edt\u00e1s keret\u00e9ben ig\u00e9nybe vehet\u0151 betegs\u00e9gek megel\u0151z\u00e9s\u00e9t \u00e9s korai\n                    felismer\u00e9s\u00e9t szolg\u00e1l\u00f3 eg\u00e9szs\u00e9g\u00fcgyi szolg\u00e1ltat\u00e1sokr\u00f3l \u00e9s a sz\u0171r\u0151vizsg\u00e1latok\n                    igazol\u00e1s\u00e1r\u00f3l.] Available from:\n                        https:\/\/net.jogtar.hu\/jogszabaly?docid=99700051.nm [accessed:\n                    October 25, 2023]. [Hungarian]"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Kolon TF, Herndon CD, Baker LA, et al. Evaluation and treatment of\n                    cryptorchidism: AUA guideline. J Urol. 2014; 192: 337\u2013345.","DOI":"10.1016\/j.juro.2014.05.005"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Braga LH, Lorenzo AJ, Romao RL. Canadian Urological\n                    Association-Pediatric Urologists of Canada (CUA-PUC) guideline for the\n                    diagnosis, management, and followup of cryptorchidism. Can Urol Assoc J. 2017;\n                    11: E251\u2013E260.","DOI":"10.5489\/cuaj.4585"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Gates RL, Shelton J, Diefenbach KA, et al. Management of the\n                    undescended testis in children: an American Pediatric Surgical Association\n                    Outcomes and Evidence Based Practice Committee Systematic Review. J Pediatr\n                    Surg. 2022; 57: 1293\u20131308.","DOI":"10.1016\/j.jpedsurg.2022.01.003"},{"key":"R14","unstructured":"Fadgyas B, Bodola Cs, Mik\u00f3czi M, et al. Retrospective analysis of\n                    the surgical management of cryptorchidism \u2013 did we do it well indeed? (Lecture.)\n                    Annual Meeting of the Hungarian Society of Paediatric Surgery 2021. [M\u0171t\u00e9tileg\n                    kezelt rejtett her\u00e9j\u0171 betegek retrospekt\u00edv vizsg\u00e1lata \u2013 biztosan j\u00f3l csin\u00e1ltuk?]\n                    (El\u0151ad\u00e1s.) Magyar Gyermekseb\u00e9sz T\u00e1rsas\u00e1g 2021. \u00e9vi tudom\u00e1nyos \u00fcl\u00e9se, Szeged,\n                    2021. [Hungarian]"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Fowler R, Stephens FD. The role of testicular vascular anatomy in\n                    the salvage of high undescended testes. Aust N Z J Surg. 1959; 29:\n                    92\u2013106.","DOI":"10.1111\/j.1445-2197.1959.tb03826.x"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Shehata SM. Laparoscopically assisted gradual controlled traction on\n                    the testicular vessels: a new concept in the management of abdominal testis. A\n                    preliminary report. 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Internet-based health\n                    communication opportunities (blogs, podcasts, video channels) and the social\n                    media. [Internetalap\u00fa eg\u00e9szs\u00e9gkommunik\u00e1ci\u00f3s lehet\u0151s\u00e9gek (blogok, podcastok,\n                    vide\u00f3csatorn\u00e1k) \u00e9s a k\u00f6z\u00f6ss\u00e9gi m\u00e9dia.] Orv Hetil. 2022; 163: 132\u2013139.\n                    [Hungarian]","DOI":"10.1556\/650.2022.32326"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/165\/4\/article-p138.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/165\/4\/article-p138.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/165\/4\/article-p138.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T14:28:58Z","timestamp":1785162538000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/165\/4\/article-p138.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,28]]},"references-count":34,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.1556\/650.2024.32957","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,28]]}}}