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LAPAROSCOPIC TREATMENT OF PEDIATRIC VARICOCELE: A MULTICENTER STUDY OF THE ITALIAN SOCIETY OF VIDEO SURGERY IN INFANCY

2000; Lippincott Williams & Wilkins; Volume: 163; Issue: 6 Linguagem: Inglês

10.1016/s0022-5347(05)67604-5

1527-3792

Ciro Esposito, G Monguzzi, MIGUEL ANTONIO GONZALEZ-SABIN, R Rubino, L. Montinaro, Alfonso Papparella, G. Amici,

Urological Disorders and Treatments

No AccessJournal of UrologyPEDIATRIC UROLOGY1 Jun 2000LAPAROSCOPIC TREATMENT OF PEDIATRIC VARICOCELE: A MULTICENTER STUDY OF THE ITALIAN SOCIETY OF VIDEO SURGERY IN INFANCY CIRO ESPOSITO, GIAN LUCA MONGUZZI, MIGUEL ANTONIO GONZALEZ-SABIN, RENATO RUBINO, LEONARDO MONTINARO, ALFONSO PAPPARELLA, and GIUSEPPE AMICI CIRO ESPOSITOCIRO ESPOSITO , GIAN LUCA MONGUZZIGIAN LUCA MONGUZZI , MIGUEL ANTONIO GONZALEZ-SABINMIGUEL ANTONIO GONZALEZ-SABIN , RENATO RUBINORENATO RUBINO , LEONARDO MONTINAROLEONARDO MONTINARO , ALFONSO PAPPARELLAALFONSO PAPPARELLA , and GIUSEPPE AMICIGIUSEPPE AMICI View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)67604-5AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We report preliminary results of a multicenter study of the Italian Society of Video Surgery in Infancy on the laparoscopic treatment of pediatric varicocele. Materials and Methods: A total of 161 children 6 to 16 years old (median age 12.5) underwent laparoscopic treatment of varicocele at 6 pediatric surgery divisions. Varicocele was on the left side in 159 cases (98.7%) and bilateral in 2 (1.3%). Two boys had recurrent left varicocele. All children were treated with laparoscopy, including ligation of the spermatic veins only in 28 (17.3%), and ligation of the testicular veins and artery in 133 (82.7%). In 10 boys (6.2%) an additional procedure was done simultaneously, including closure of an apparently patent peritoneal vaginal duct on the right side in 7 and resection of epiploic adhesions between the intestinal loops and abdominal wall from previous appendectomy in the remaining 3. Results: Average operative time was 30 minutes and hospitalization was about 24 hours. At followup there were 13 minor complications (8%), including left hydrocele in 9 children who underwent the Palomo technique, minor scrotal emphysema in 2 and umbilical granuloma in 2. In our series varicocele recurred in 1 boy (3.5%) who underwent ligation of the spermatic veins only and in 3 (2.2%) treated with the Palomo technique. Conclusions: Our preliminary experience shows that the results of the laparoscopic approach are comparable to those of the open approach. However, the important advantages of laparoscopy over the open approach are its minimal invasiveness and precision of intervention. Moreover, laparoscopy allows treatment of other intra-abdominal pathological conditions using the same anesthesia, as in 10 patients in our series. We believe that ligating the testicular veins and artery is preferable to ligating the testicular veins only, even if the incidence of hydrocele is not negligible after the Palomo procedure. References 1 : Adolescent varicocele. 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Google Scholar From the Division of Pediatric Surgery, “Federico II” University of Naples and Second University of Naples, Naples, “Magna Graecia” University of Catanzaro and Pugliese Hospital, Catanzaro, Buzzi Hospital, Milan and University of Bari, Bari, Italy, and William Soler Hospital, La Habana, Cuba© 2000 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byWoldu S, Van Batavia J, Poon S, Raimondi P and Glassberg K (2010) Is Adolescent Varicocelectomy Safe After Previous Inguinal Surgery?Journal of Urology, VOL. 184, NO. 4S, (1716-1721), Online publication date: 1-Oct-2010.Barroso U, Andrade D, Novaes H, Netto J and Andrade J (2018) Surgical Treatment of Varicocele in Children With Open and Laparoscopic Palomo Technique: A Systematic Review of the LiteratureJournal of Urology, VOL. 181, NO. 6, (2724-2728), Online publication date: 1-Jun-2009.KOČVARA R, DVOŘÁČEK J, SEDLÁČEK J, DÍT˘E Z and NOVÁK K (2018) LYMPHATIC SPARING LAPAROSCOPIC VARICOCELECTOMY: A MICROSURGICAL REPAIRJournal of Urology, VOL. 173, NO. 5, (1751-1754), Online publication date: 1-May-2005.ESPOSITO C, VALLA J, NAJMALDIN A, SHIER F, MATTIOLI G, SAVANELLI A, CASTAGNETTI M, McKINLEY G, STAYAERT H, SETTIMI A, JASONNI V and GUYS J (2018) Incidence and Management of Hydrocele Following Varicocele Surgery in ChildrenJournal of Urology, VOL. 171, NO. 3, (1271-1273), Online publication date: 1-Mar-2004.KOYLE M, OOTTAMASATHIEN S, BARQAWI A, RAJIMWALE A and FURNESS P (2018) LAPAROSCOPIC PALOMO VARICOCELE LIGATION IN CHILDREN AND ADOLESCENTS: RESULTS OF 103 CASESJournal of Urology, VOL. 172, NO. 4 Part 2, (1749-1752), Online publication date: 1-Oct-2004.Greenfield S, Seville P and Wan J (2018) Experience with Varicoceles in Children and Young AdultsJournal of Urology, VOL. 168, NO. 4 Part 2, (1684-1688), Online publication date: 1-Oct-2002. Volume 163Issue 6June 2000Page: 1944-1946 Advertisement Copyright & Permissions© 2000 by American Urological Association, Inc.Keywordsvaricoceletestisinfertility, malelaparoscopyMetricsAuthor Information CIRO ESPOSITO More articles by this author GIAN LUCA MONGUZZI More articles by this author MIGUEL ANTONIO GONZALEZ-SABIN More articles by this author RENATO RUBINO More articles by this author LEONARDO MONTINARO More articles by this author ALFONSO PAPPARELLA More articles by this author GIUSEPPE AMICI More articles by this author Expand All Advertisement PDF downloadLoading ...