Name: NanoNeedle™ Scope for Pediatric Diagnostic Laparoscopy and Fowler-Stephens Orchiopexy
Uploaded: 2026-07-29T16:34:00Z
Duration: 3 min 57 s
Channel: Arthrex
Description: Bradley Morganstern, MD (Augusta, GA), presents a case in which he performed a pediatric diagnostic laparoscopy and Fowler-Stephens orchiopexy using the NanoNeedle™ scope as primary visualization.

Imaging and Resection

<p>Bradley Morganstern, MD (Augusta, GA), presents a case in which he performed a pediatric diagnostic laparoscopy and Fowler-Stephens orchiopexy using the NanoNeedle™ scope as primary visualization.</p>

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VID1-008876-en-US | A | NanoNeedle™ Scope for Pediatric Diagnostic Laparoscopy and Fowler-Stephens Orchiopexy

Bradley Morganstern, MD

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NanoNeedle™ Scope for Pediatric Diagnostic Laparoscopy and Fowler-Stephens Orchiopexy

Speaker  Hi, my name is Doctor Bradley Morgenstern from Augusta, Georgia. I'm here today to talk about the NanoNeedle scope and pediatric laparoscopic orchiopexy. Our case is a four year old male with bilateral undescended testicles. His HPI includes testicles that have not been present since birth. He has a past medical history of autism, developmental delay, short stature, and undescended testicles. Of note, his weight is only 9.1kg. He presents today for diagnostic laparoscopy and fowler-stephens orchiopexy. The diagnostic laparoscopy is going to be a planned one versus two stage, depending on where the testicles are found. We start with access with the 1.9 NanoNeedle via the umbilicus. The needle is first used for Insufflation. The NanoNeedle used without an incision via the same access. And then we are using the application of 180mm NanoNeedle with a 125mm high flow access sheath. As you can see here, that is us introducing the high flow sheath. And here we go with the NanoNeedle being inserted into the abdomen. As we note here, you're able to achieve excellent visualization upon entry. And we are now looking at bilateral inguinal canals. And we have seen both intra abdominal testicles. So as we've just seen bilateral intra abdominal testicles are found. Therefore we need to introduce five millimetres trocars under direct visualization using the NanoNeedle. These are placed in the midclavicular line in line with the umbilicus. As you can see here, there's excellent visualization as we place these trocars. And here is what the NanoNeedle looks with two additional trocars in a 9.1kg abdomen. Speaker  We then decided to do a staged approach due to the location of the testicle and the distended bowel. In order to maximize the eventual placement of the testicle into the scrotum. As you can see here, we have excellent visualization. Again, as we grasp the testicle and we dissect out the testicular artery. Five millimetres Eclipse will then be applied. Once the clips are applied, we transect the artery, and we will plan to come back in about six months to bring the testicle into the scrotum. We then close in a typical fashion with closing the fascia with two zero vicryl. The NanoNeedle port is closed with just surgical glue. And here is your final view. We will use these same ports and placements when we come back for the second stage. The advantages of the NanoNeedle is no incision, thus improved Cosmesis superior visualization able to maintain insufflation even in these smaller patients. It is FDA approved for two years and older. We have minimal fogging or wiping needed. The NanoNeedle is has a resolution of 720 pixels on the 2.0, and is extremely easy to use as visualized here in this case. Other pediatric applications might be. Diagnostic laparoscopy. Varicocelectomy. Pyeloplasty. It is an excellent tool for any surgeon performing laparoscopy. We have just demonstrated a successful procedure of a staged fowler-stephens orchiopexy and a 9.1kg child. We had excellent visualization as well as Pneumoperitoneum. I look forward to using the NanoNeedle in many procedures to come.