{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T23:02:31Z","timestamp":1785538951946,"version":"3.56.0"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T00:00:00Z","timestamp":1749772800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec><jats:title>Purposes<\/jats:title><jats:p>We report clinical, operative, and outcome data for laparoscopic- assisted minimal procedure for treating unilateral inguinal undescended testis (UDT) with concurrent ipsilateral incarcerated hernia in children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Early-stage cases were defined as those presenting within 24\u2005h of symptom onset with stable vital signs and absence of peritonitis, intestinal necrosis, or testicular necrosis. A retrospective analysis was conducted on patients undergoing laparoscopic-assisted hernia repair and trans-scrotal orchidopexy (LAHRTO) procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 14 cases were enrolled (Left, <jats:italic>n<\/jats:italic>\u2009=\u20094; Right, <jats:italic>n<\/jats:italic>\u2009=\u200910). Incarcerated hernia contents comprised viable omentum or bowel, without necrosis or intestinal perforation. Ten cases achieved successful laparoscopic reduction, while four cases required conversion to open inguinal incision due to failed reduction. All the testes were preserved and underwent the LAHRTO procedure except for those that converted. Notably, five cases of contralateral patent processus vaginalis (PPV) were identified, allowing for synchronous closure during surgery. The average operation time was (46.8\u2009\u00b1\u20095.2)\u2005min, resulting in a success rate of 71.4% (10\/14). At 16\u201324 months of follow-up, two testes showed partial atrophy. No wound infections, hernia recurrences, or testicular retractions were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our initial findings suggest that the LAHRTO procedure appears safe and feasible for early-stage inguinal UDT with concurrent incarcerated hernia in children, reducing inguinal incisions and enabling concurrent contralateral PPV management. A larger number of cases with longer follow-up is needed to validate the results of the current study in an evidence-based manner.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2025.1523591","type":"journal-article","created":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T05:49:49Z","timestamp":1749793789000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic-assisted repair of inguinal undescended testis with concurrent incarcerated hernia in children: a single-center experience"],"prefix":"10.3389","volume":"13","author":[{"given":"Jia","family":"You","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shen","family":"Jing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,6,13]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"E251","DOI":"10.5489\/cuaj.4585","article-title":"Canadian urological association-pediatric urologists of Canada (CUA-PUC) guideline for the diagnosis, management, and followup of cryptorchidism","volume":"11","author":"Braga","year":"2017","journal-title":"Can Urol Assoc J"},{"key":"B2","doi-asserted-by":"publisher","first-page":"2041","DOI":"10.1016\/j.jpedsurg.2017.11.050","article-title":"A critical review of recent clinical practice guidelines on management of cryptorchidism","volume":"53","author":"Kim","year":"2018","journal-title":"J Pediatr Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1007\/s00383-007-1876-z","article-title":"Incidence and management of the inguinal hernia during laparoscopic orchiopexy in palpable cryptoorchidism: preliminary report","volume":"23","author":"Riquelme","year":"2007","journal-title":"Pediatr Surg Int"},{"key":"B4","doi-asserted-by":"publisher","first-page":"980","DOI":"10.1016\/j.jpedsurg.2006.01.020","article-title":"Six thousand three hundred sixty-one pediatric inguinal hernias: a 35-year review","volume":"41","author":"Ein","year":"2006","journal-title":"J Pediatr Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1108","DOI":"10.1016\/j.jpedsurg.2017.02.011","article-title":"The management of boys under 3 months of age with an inguinal hernia and ipsilateral palpable undescended testis","volume":"52","author":"Wright","year":"2017","journal-title":"J Pediatr Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"322","DOI":"10.7205\/MILMED-D-01-9008","article-title":"A case report_ an adult with omental incarceration of a testicle, an unexpected finding at herniorraphy","volume":"174","author":"Marx","year":"2009","journal-title":"Mil Med"},{"key":"B7","doi-asserted-by":"publisher","first-page":"453","DOI":"10.1089\/lap.2019.0607","article-title":"Laparoscopic orchiopexy versus open orchiopexy for palpable undescended testis in children: a prospective comparison study","volume":"30","author":"Yang","year":"2020","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"B8","doi-asserted-by":"publisher","first-page":"770","DOI":"10.1016\/j.jpedsurg.2021.07.003","article-title":"Laparoscopic versus open orchiopexy for palpable undescended testes: systematic review and meta-analysis","volume":"57","author":"Mentessidou","year":"2022","journal-title":"J Pediatr Surg"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1745","DOI":"10.1089\/end.2007.0315","article-title":"Laparoscopic orchiopexy for treating inguinal canalicular palpable undescended testis","volume":"22","author":"He","year":"2008","journal-title":"J Endourol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"978","DOI":"10.1089\/end.2015.0118","article-title":"Palpable undescended testes: 15 years of experience and outcome in laparoscopic orchiopexy","volume":"29","author":"Riquelme","year":"2015","journal-title":"J Endourol"},{"key":"B11","doi-asserted-by":"publisher","first-page":"686","DOI":"10.1016\/j.juro.2008.04.040","article-title":"Potential complications with the prescrotal approach for the palpable undescended testis? A comparison of single prescrotal incision to the traditional inguinal approach","volume":"180","author":"Al-Mandil","year":"2008","journal-title":"J Urol"},{"key":"B12","doi-asserted-by":"publisher","first-page":"621","DOI":"10.1007\/s00383-014-3507-9","article-title":"Incarcerated inguinal hernia management in children: \u2018a comparison of the open and laparoscopic approach\u2019","volume":"30","author":"Mishra","year":"2014","journal-title":"Pediatr Surg Int"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1970","DOI":"10.1016\/j.jpedsurg.2011.05.019","article-title":"Laparoscopic inguinal hernia repair by the hook method in emergency setting in children presenting with incarcerated inguinal hernia","volume":"46","author":"Chan","year":"2011","journal-title":"J Pediatr Surg"},{"key":"B14","doi-asserted-by":"publisher","first-page":"1131","DOI":"10.1089\/lap.2020.0360","article-title":"Laparoscopy-assisted transscrotal orchidopexy for palpable undescended testis: initial results","volume":"30","author":"Saka","year":"2020","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"B15","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1016\/j.jpedsurg.2023.09.021","article-title":"Immediate versus delayed surgical management of infant cryptorchidism with inguinal hernia","volume":"59","author":"Ramsey","year":"2024","journal-title":"J Pediatr Surg"},{"key":"B16","first-page":"65","article-title":"Testicular necrosis secondary to incarcerated inguinal hernia in male infants. Own observations","volume":"22","author":"Dudek-Warcho\u0142","year":"2018","journal-title":"Dev Period Med"},{"key":"B17","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1055\/s-2008-1063070","article-title":"Frequency of testicular atrophy following incarcerated hernia","volume":"38","author":"Le Coultre C","year":"1983","journal-title":"Z Kinderchir"},{"key":"B18","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1186\/s12894-023-01244-3","article-title":"Laparoscopic assisted trans-scrotal orchiopexy versus traditional orchiopexy for inguinal cryptorchidism: a retrospective study based on 154 patients","volume":"23","author":"Guo","year":"2023","journal-title":"BMC Urol"},{"key":"B19","doi-asserted-by":"publisher","first-page":"293","DOI":"10.3389\/fped.2018.00293","article-title":"Single-port laparoscopic assisted transcrotal orchidopexy for palpable inguinal canalicular cryptorchidism accompany with indirect inguinal hernia","volume":"6","author":"Ma","year":"2018","journal-title":"Front Pediatr"},{"key":"B20","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1055\/a-1958-7830","article-title":"Laparoscopic versus open incarcerated inguinal hernia repair in children: a systematic review and meta-analysis","volume":"33","author":"Zubaidi","year":"2023","journal-title":"Eur J Pediatr Surg"},{"key":"B21","doi-asserted-by":"publisher","first-page":"506","DOI":"10.1016\/j.jpurol.2009.10.016","article-title":"20 years of transcrotal orchidopexy for undescended testis: results and outcomes","volume":"6","author":"Gordon","year":"2010","journal-title":"J Pediatr Urol"},{"key":"B22","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1055\/s-0030-1262793","article-title":"Surgical repair of incarcerated inguinal hernia in children: laparoscopic or open?","volume":"21","author":"Nah","year":"2011","journal-title":"Eur J Pediatr Surg"},{"key":"B23","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1111\/ases.12366","article-title":"Laparoscopic orchidopexy with transabdominal preperitoneal hernia repair in an adult","volume":"10","author":"Omoto","year":"2017","journal-title":"Asian J Endosc Surg"},{"key":"B24","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1089\/end.2010.0496","article-title":"Laparoscopic management of nonpalpable testis: new treatment strategy","volume":"25","author":"Kojima","year":"2011","journal-title":"J Endourol"},{"key":"B25","first-page":"4030","article-title":"Testicular ischemia caused by incarcerated inguinal hernia in infants_ incidence, conservative treatment procedure, and follow-up","volume":"14","author":"Ozdamar MY","year":"2017","journal-title":"Urol J"},{"key":"B26","doi-asserted-by":"publisher","first-page":"1195","DOI":"10.1016\/0022-3468(95)90020-9","article-title":"Testicular fate after incarcerated hernia repair and_or orchiopexy performed in patients under 6 months of age","volume":"30","author":"Walc L","year":"1995","journal-title":"J Pediatr Surg"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1523591\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T05:49:50Z","timestamp":1749793790000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1523591\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,13]]},"references-count":26,"alternative-id":["10.3389\/fped.2025.1523591"],"URL":"https:\/\/doi.org\/10.3389\/fped.2025.1523591","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,13]]},"article-number":"1523591"}}