{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T16:00:24Z","timestamp":1785513624709,"version":"3.56.0"},"reference-count":38,"publisher":"Akademiai Kiado Zrt.","issue":"28","license":[{"start":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:00:00Z","timestamp":1783814400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,7,12]]},"abstract":"\n Bevezet\u00e9s:<\/jats:italic>\n Az intraabdominalisan retine\u00e1lt her\u00e9k levitel\u00e9nek\n optim\u00e1lis m\u0171t\u00e9ti technik\u00e1ja tov\u00e1bbra is vitatott t\u00e9ma. A leggyakrabban\n alkalmazott elj\u00e1r\u00e1s a Fowler\u2013Stephens-f\u00e9le orchidopexia, valamint az annak\n alternat\u00edv\u00e1jak\u00e9nt elterjedt, a here ereit megk\u00edm\u00e9l\u0151 Shehata-f\u00e9le technika.\n C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n A vizsg\u00e1lat c\u00e9lja a k\u00e9tl\u00e9pcs\u0151s\n Fowler\u2013Stephens-f\u00e9le orchidopexia hossz\u00fa t\u00e1v\u00fa eredm\u00e9nyeinek elemz\u00e9se volt\n intraabdominalisan retine\u00e1lt her\u00e9k eset\u00e9ben, k\u00fcl\u00f6n\u00f6s tekintettel a beavatkoz\u00e1s\n sikeress\u00e9gi \u00e9s hereatrophi\u00e1s ar\u00e1ny\u00e1ra, valamint az eredm\u00e9nyek nemzetk\u00f6zi\n szakirodalmi adatokkal t\u00f6rt\u00e9n\u0151 \u00f6sszevet\u00e9se.\n M\u00f3dszer:<\/jats:italic>\n Retrospekt\u00edv m\u00f3don elemezt\u00fck a Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f3rh\u00e1z \u00e9s Egyetemi\n Oktat\u00f3k\u00f3rh\u00e1z Gyermekseb\u00e9szeti Oszt\u00e1ly\u00e1n 2004. 01. 01. \u00e9s 2023. 12. 31. k\u00f6z\u00f6tt\n k\u00e9tl\u00e9p\u00e9ses Fowler\u2013Stephens-f\u00e9le orchidopexi\u00e1n \u00e1tesett gyermekek dokument\u00e1ci\u00f3j\u00e1t\n a MedWorks rendszer adatb\u00e1zisa alapj\u00e1n. Sikeresnek tekintett\u00fck a beavatkoz\u00e1st,\n ha a kontrollvizsg\u00e1latok sor\u00e1n a here k\u00f6vetkezetesen a scrotumban volt\n tapinthat\u00f3, \u00e9s perf\u00fazi\u00f3ja megtartottnak bizonyult.\n Eredm\u00e9nyek:<\/jats:italic>\n 42 gyermekn\u00e9l t\u00f6rt\u00e9nt Fowler\u2013Stephens-f\u00e9le orchidopexia, 6 esetben\n bilater\u00e1lisan, teh\u00e1t \u00f6sszesen 48 her\u00e9n t\u00f6rt\u00e9nt beavatkoz\u00e1st vizsg\u00e1ltunk. A\n gyermekek \u00e1tlag\u00e9letkora az els\u0151 m\u0171t\u00e9tkor 3,3 (0,9\u201313) \u00e9v volt. Az els\u0151 m\u0171t\u00e9tet\n k\u00f6vet\u0151en 3 esetben \u00e9szlelt\u00fcnk atrophi\u00e1t. A m\u00e1sodik beavatkoz\u00e1s ut\u00e1ni\n kontrollvizsg\u00e1latokon fizik\u00e1lisan 32 esetben volt tapinthat\u00f3 a here a\n scrotumban, 4 gyermekn\u00e9l nem volt tapinthat\u00f3.\n Megbesz\u00e9l\u00e9s:<\/jats:italic>\n \u00d6sszess\u00e9g\u00e9ben 82,5%-os sikeress\u00e9gi \u00e9s 17,5%-os atrophi\u00e1s ar\u00e1nyt tapasztaltunk,\n amely \u00f6sszhangban \u00e1ll a nemzetk\u00f6zi szakirodalomban k\u00f6z\u00f6lt eredm\u00e9nyekkel\n (67\u201398%).\n K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n Eredm\u00e9nyeink alapj\u00e1n a k\u00e9tl\u00e9pcs\u0151s\n Fowler\u2013Stephens-f\u00e9le orchidopexia tov\u00e1bbra is hat\u00e9kony \u00e9s megb\u00edzhat\u00f3 m\u00f3dszer az\n intraabdominalisan retine\u00e1lt her\u00e9k kezel\u00e9s\u00e9ben. B\u00e1r a hereatrophi\u00e1s ar\u00e1ny a\n Shehata-technik\u00e1hoz k\u00e9pest n\u00e9mileg nagyobbnak bizonyult, a sikeress\u00e9gi ar\u00e1ny\n \u00f6sszess\u00e9g\u00e9ben kedvez\u0151, \u00e9s megfelel a nemzetk\u00f6zi szakirodalomban k\u00f6z\u00f6lt\n adatoknak. Orv Hetil. 2026; 167(28): 1113\u20131119.\n <\/jats:p>","DOI":"10.1556\/650.2026.33561","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T09:02:13Z","timestamp":1783933333000},"page":"1113-1119","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Intraabdominalisan retine\u00e1lt her\u00e9k m\u0171t\u00e9ti megold\u00e1sa k\u00e9tl\u00e9pcs\u0151s Fowler\u2013Stephens-orchidopexi\u00e1val"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9415-7892","authenticated-orcid":true,"given":"Dieu My","family":"Ta","sequence":"first","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Velkey L\u00e1szl\u00f3 Gyermekeg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, Gyermekseb\u00e9szeti, Traumatol\u00f3giai \u00e9s \u00c9g\u00e9si Oszt\u00e1ly Miskolc, Szentp\u00e9teri kapu 72\u201376., 3526 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gyula","family":"R\u00e9ti","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Velkey L\u00e1szl\u00f3 Gyermekeg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, Gyermekseb\u00e9szeti, Traumatol\u00f3giai \u00e9s \u00c9g\u00e9si Oszt\u00e1ly Miskolc, Szentp\u00e9teri kapu 72\u201376., 3526 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eszter","family":"Ko\u00f3s","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Velkey L\u00e1szl\u00f3 Gyermekeg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, Gyermek Radiol\u00f3giai Oszt\u00e1ly Miskolc Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"T\u00f6rk\u00f6ly","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Velkey L\u00e1szl\u00f3 Gyermekeg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, Gyermek Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Oszt\u00e1ly Miskolc Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e1nos Gy\u00f6rgy","family":"Papp","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Velkey L\u00e1szl\u00f3 Gyermekeg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, Gyermekseb\u00e9szeti, Traumatol\u00f3giai \u00e9s \u00c9g\u00e9si Oszt\u00e1ly Miskolc, Szentp\u00e9teri kapu 72\u201376., 3526 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Barthold JS, Gonzalez R. The epidemiology of congenital\n cryptorchidism, testicular ascent and orchiopexy. J Urol. 2003; 170: 2396-2401.\n https:\/\/doi.org\/10.1097\/01.ju.0000095793.04232.d8","DOI":"10.1097\/01.ju.0000095793.04232.d8"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Sijstermans K, Hack WW, Meijer RW, et al. The frequency of\n undescended testis from birth to adulthood: a review. Int J Androl. 2008; 31:\n 1-11.\n https:\/\/doi.org\/10.1111\/j.1365-2605.2007.00770.x","DOI":"10.1111\/j.1365-2605.2007.00770.x"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Foresta C, Zuccarello D, Garolla A, et al. Role of hormones, genes,\n and environment in human cryptorchidism. Endocr Rev. 2008; 29: 560-580.\n https:\/\/doi.org\/10.1210\/er.2007-0042","DOI":"10.1210\/er.2007-0042"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Lip SZ, Murchison LE, Cullis PS, et al. A meta-analysis of the risk\n of boys with isolated cryptorchidism developing testicular cancer in later life.\n Arch Dis Child. 2013; 98: 20-26.\n https:\/\/doi.org\/10.1136\/archdischild-2012-302051","DOI":"10.1136\/archdischild-2012-302051"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Virtanen HE, Toppari J. Cryptorchidism and fertility. Endocrinol\n Metab Clin North Am. 2015; 44: 751-760.\n https:\/\/doi.org\/10.1016\/j.ecl.2015.07.013","DOI":"10.1016\/j.ecl.2015.07.013"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Chua ME, Mendoza JS, Gaston MJ, et al. Hormonal therapy using\n gonadotropin releasing hormone for improvement of fertility index among children\n with cryptorchidism: a meta-analysis and systematic review. J Pediatr Surg.\n 2014; 49: 1659-1667.\n https:\/\/doi.org\/10.1016\/j.jpedsurg.2014.06.013","DOI":"10.1016\/j.jpedsurg.2014.06.013"},{"key":"R7","unstructured":"College of Health Professions. 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J Pediatr Urol. 2025; 21: 1643-1649.\n https:\/\/doi.org\/10.1016\/j.jpurol.2025.05.030","DOI":"10.1016\/j.jpurol.2025.05.030"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Varga A, Tardi R, Kov\u00e1cs T. Current management of undescended testes\n in Hungary - where are we now? [A herelesz\u00e1ll\u00e1si zavarok kezel\u00e9se Magyarorsz\u00e1gon\n - hol tartunk most?] Orv Hetil. 2024; 165: 138-146. [Hungarian]\n https:\/\/doi.org\/10.1556\/650.2024.32957","DOI":"10.1556\/650.2024.32957"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"DiMaggio C, Sun LS, Ing C, et al. Pediatric anesthesia and\n neurodevelopmental impairments: a Bayesian meta-analysis. J Neurosurg\n Anesthesiol. 2012; 24: 376-381.\n https:\/\/doi.org\/10.1097\/ANA.0b013e31826a038d","DOI":"10.1097\/ANA.0b013e31826a038d"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Trinh SH, Kiss TM, P\u00e1pai J, et al. The potentials of virtual reality\n in pediatric perioperative care. 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