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Orchidopexy Subdartos Pouch

*Subdartos Pouch Orchiopexy: Surgical Technique for Undescended Testes/Torsion Testis* In this video, we demonstrate the surgical steps involved in performing a subdartos pouch orchiopexy, a standard procedure for correcting undescended testes (cryptorchidism). This technique ensures the secure placement of the testis within the scrotum, promoting normal development and function. *Surgical Steps:* 1. **Inguinal Incision/Scrotal**: A small incision is made in the groin/scrotum area to access the undescended testis. 2. **Mobilization of the Testis and Spermatic Cord**: The testis is carefully dissected free from surrounding tissues, and the spermatic cord is mobilized to provide adequate length for tension-free placement in the scrotum. 3. **Creation of the Subdartos Pouch**: A separate incision is made in the scrotum. A hemostat is inserted just under the skin and spread both superiorly and inferiorly to create the pouch. 4. **Transfer of the Testis to the Scrotum**: The testis is gently guided into the newly created subdartos pouch, ensuring that the spermatic cord is not twisted. 5. **Fixation**: The neck of the pouch is narrowed with sutures to prevent retraction of the testis. 6. **Closure**: Inguinal/scrotal incisions are closed using absorbable sutures. This method provides a secure and anatomically appropriate environment for the testis, facilitating normal growth and reducing the risk of future complications. For a visual demonstration of this procedure, you may refer to the following video: