CPT® Code 54692

Laparoscopic orchiopexy is a minimally invasive surgical procedure aimed at correcting cryptorchidism, a condition where one or both testicles fail to descend into the scrotum. This procedure is specifically indicated for an intra-abdominal testis, which is a testis that has not descended into the scrotum and is located within the abdominal cavity. The surgery is performed with the patient positioned supine and in a Trendelenburg position, which helps facilitate access to the abdominal cavity. A Foley catheter is typically placed transurethrally to assist with bladder management during the procedure. The surgical approach involves making a small U-shaped incision at the umbilicus, allowing for the introduction of a Veress needle to create a pneumoperitoneum through carbon dioxide insufflation. This establishes a working space within the abdomen for the laparoscope and other surgical instruments. The procedure involves careful dissection to free the testis and spermatic cord, ensuring that the testis can be mobilized and repositioned into the scrotum. The final steps include anchoring the testis in its new location within a subdartos pouch created in the scrotum, followed by closure of the incisions. This technique minimizes recovery time and postoperative discomfort compared to traditional open surgery, making it a preferred option for many pediatric patients with this condition.