Results and complications of laparoscopic surgery for pediatric varicocele

Journal of Pediatric Surgery
Ciro EspositoN Innaro

Abstract

The aim of this study was to evaluate the results and complications of laparoscopic varicocelectomy in children. Over a 36-month period, 211 children underwent laparoscopic treatment of varicocele. Their ages ranged between 6 and 17 years; the varicocele was located on the left side in 209 cases (99.1%) and was bilateral in 2 (0.9%). In 195 patients the laparoscopic transperitoneal approach was used and in 16 retroperitoneoscopy was used. Thirty children (14.2%) underwent ligation of the veins alone, and 181 (85.8%) underwent ligation of testicular veins and artery. In 15 (7.1%) cases an additional procedure was applied during the same operation. Average operating time was 30 minutes and hospitalization about 24 hours. At an average follow-up of 26 months, there were 19 (9%) postoperative complications: 14 children had a left hydrocele, 3 children a scrotal emphysema, and 2 an umbilical granuloma. There were 5 recurrences of varicocele in our series: 2 (2 of 30, 6.6%) after the Ivanissevitch procedure, and 3 (3 of 181, 1.6%) after Palomo's. Testicular atrophy did not occur in any patient of this series. This preliminary experience shows that the results of the laparoscopic approach are comparable to those of the open approach. ...Continue Reading

References

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Citations

Jul 13, 2004·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Prayag BarotMichael Fleisher
May 9, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Antonio MartePio Parmeggiani
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 19, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Salvatore Fabio ChiarenzaCiro Esposito
Jul 1, 2011·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Peter Chan
Jun 7, 2005·Journal of Pediatric Surgery·Giovanni CobellisAscanio Martino
May 7, 2002·The Journal of Urology·Ayal M KaynanHoward N Winfield
Jan 25, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ciro EspositoMaria Escolino
Mar 3, 2012·Cardiovascular and Interventional Radiology·Vittorio Iaccarino, Pietro Venetucci
Apr 23, 2011·Journal of Sex Research·Matthew R PearsonEmily A Impett
Oct 14, 2011·Journal of Prevention & Intervention in the Community·Chris M KirkDavid Stowell
Sep 26, 2017·Youth & Society·Katrina J DebnamKerry M Green
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May 25, 2004·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Leo PallweinFerdinand Frauscher
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Dec 7, 2010·Journal of Pediatric Surgery·Francesca Astra BorrutoCarmelo Romeo

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