Laparoscopic Palomo varicocele ligation in children and adolescents: results of 103 cases

The Journal of Urology
Martin A KoylePeter D Furness

Abstract

We evaluate our experience using the laparoscopic Palomo varicocele ligation (LPV) technique in male children and adolescents with varicoceles. Between September 1994 and September 2002, 122 varicoceles were treated using LPV with either mass cord vascular clip application (68) or LigaSure (Valleylab, Boulder, Colorado) vascular sealing (54). All procedures were performed as day surgery cases and patients were allowed to return to normal activities as soon as they could tolerate them. Followup was scheduled for 6 to 12 weeks and 1 year postoperatively. Testicular size was evaluated using a Prader orchidometer. Of the 122 patients 103 were evaluable at the initial postoperative visit and 96 at 1-year followup. Patient ages ranged from 9 to 19 years (mean 14.6). Operating time was 9 to 52 minutes (mean 28), although in the last 2 years (28 cases) mean operative time has decreased to 14.6 minutes. Indications for surgery included ipsilateral testicular hypotrophy in 84 cases, symptoms in 3 and parental choice in 16. At followup only 1 recurrent varicocele (vascular sealant group) was identified which was subsequently re-treated successfully using vascular sealant LPV. At 1 year 64 of 78 testes (82%) demonstrated catch-up growth an...Continue Reading

References

Nov 1, 1992·The Journal of Urology·J SayfanR Orda
Jan 1, 1992·The Journal of Urology·J F Donovan, H N Winfield
Aug 1, 1992·The Journal of Urology·E J Kass, B Marcol
Mar 1, 1987·The Journal of Urology·E J Kass, A B Belman
Nov 1, 1993·Urology·M A Witt, L I Lipshultz
Feb 24, 2001·Human Reproduction Update·D J Cozzolino, L I Lipshultz

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Citations

May 9, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Antonio MartePio Parmeggiani
Sep 29, 2006·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Martin L MetzelderBenno M Ure
Oct 3, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Kenneth Wong, Paul Tam
Nov 4, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Todd A PonskySteven S Rothenberg
Mar 12, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Costa HealeyAnies Mahomed
Aug 9, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Go MiyanoAtsuyuki Yamataka
Oct 18, 2011·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Roberto Méndez-GallartPablo Rodríguez-Barca
Mar 13, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Haluk SöylemezBülent Altunoluk
Aug 6, 2009·Journal of Endourology·Josephine Hidalgo-TamolaThomas S Lendvay
Dec 17, 2008·Journal of Pediatric Urology·Roberto Méndez-GallartRamiro Varela-Cives
Sep 23, 2008·Journal of Pediatric Urology·Stephen A PoonKenneth I Glassberg
May 27, 2008·The Journal of Urology·Kenneth I GlassbergRosalia Misseri
Sep 8, 2007·BJU International·Settin Cayan, Christopher R J Woodhouse
Apr 11, 2007·BJU International·Marc C SmaldoneSteven G Docimo
Nov 11, 2005·The Journal of Urology·David Ben-Meir, Hock L Tan
Sep 16, 2008·The Surgical Clinics of North America·Emily T Durkin, Aimen F Shaaban
Aug 22, 2015·AJR. American Journal of Roentgenology·Peter VanlangenhoveLuc Defreyne
Jun 23, 2009·International Journal of Surgery·Brij B Agarwal, Kumar Manish
Mar 8, 2011·Journal of Pediatric Surgery·Fawaz FayadFrederic Auber
Mar 17, 2007·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·K EntezariR Van Velthoven
Jan 11, 2007·Nature Clinical Practice. Urology·Danielle D SweeneySteven G Docimo
Oct 27, 2011·Expert Review of Medical Devices·Mathias TrempDaniel Eberli

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