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Aim and Objective: To Evaluate the results of single incision trans scrotal orchidopexy in children with low lying palpable undescended testis. Materials and Methods: This study was conducted at the Paediatric Surgery Department M.T.I Lady Reading Hospital Peshawar from January 2018 to January 2021. A Total of 150 orchidopexies (140 Children) were included in this study, the length of vas gained after isolation and the division of the process vaginalis as well as the placement of the testis in the sub dartos pouch without tension were recorded. Children aged 1 years to 14 years diagnosed as cases of low lying palpable undescended testes surgical out comes, operative time, hospital stay and complications were noted. Results: In 150 cases the single scrotal incision orchidopexy was performed with no difficulties. Mean operative time and hospital stay were 30 minutes and 1-2 days respectively. About 100 patients had right sided undescended testes and 40 cases had left sided undescended testes and 10 patients it was bilateral. The conversion rate of surgery was 7 %. The complications like formation of scrotal heamatoma, wound infection and secondary ascent of testis were noted. In terms of the cosmetic appearance of the scar, patients in the trans scrotal orchidopexies had excellent cosmetic appearance as the scars were less visible and hidden in the rugal folds. Conclusion: Trans scrotal single incision orchidopexy for palpable undescended testis is simple, safe, effective and less invasive technique. [ABSTRACT FROM AUTHOR]

Objective: The objective of the present study was to observe the histopathological pattern and to know incidence of various pediatric intra-abdominalmalignancies of Intra-abdominal tumors in children less than 16 years. Material and Methods: This study was carried out at the department ofPediatric Surgery MTI/LRH Peshawar, over a period of 4 years from January 2014 to March 2018. Abdominal masses are often incidentally discovered by a parent while bathing the child, palpated unexpectedly on routine physical examination or detected on abdominal imaging. The commonly utilized techniques to aid diagnosis were ultra-sonographyand computerized tomographyscan and the commonly treatment modality was a combination of surgery and chemotherapy. Total of 63 intra-abdominal tumors of both sexes under 16 years of age was collected and analyzed to determine the various types of intra abdominal tumors in children in relation to histopathology, age and sex. Results: Wilms's tumor was the most common tumor constituting 29.3% of all cases. The others included non-Hodgkin's lymphoma (21.8%) neuroblastoma (12.3%), germ cell tumors and rhabdomyosarcoma (9%), Hepatoblastoma (9%) and a miscellaneous group. Majority of patient (65.2%) were under 5 years of age. The male to female ratio was 1.2:1. Conclusions: Wilm's tumor was the most common tumor. Most of the tumors were noted in children less than 5 years of age. Intra-abdominal tumors are more common in males. [ABSTRACT FROM AUTHOR]