Laparoscopy in the management of pediatric varicoceles.
J Pediatr Surg
; 32(10): 1470-2, 1997 Oct.
Article
en En
| MEDLINE
| ID: mdl-9349772
BACKGROUND/PURPOSE: The authors present their early experience with laparoscopic ligation of varicoceles in children. METHODS: Over a period of 30 months, 17 children underwent laparoscopic treatment of unilateral varicoceles (age range, 7 to 16 years). Nine underwent ligation of veins alone and eight (including four children who had recurrent varicoceles) underwent ligation of testicular veins and artery. In three patients, vas-associated veins were ligated in addition to the main testicular vessels. RESULTS: The average operation time was 30 minuts (range, 14 to 75) and hospital stay, 11 hours (range, 4 to 22). There were no technical failures. Minor scrotal emphysema developed in one child, and a painful, tender swelling above the epididymis developed in another. At an average follow-up of 24 months (range, 6 to 30), all patients were asymptomatic and had marked reduction in the size of the varicoceles. CONCLUSION: Further experience and long-term follow-up are clearly required before the efficacy of this procedure is established.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Varicocele
/
Laparoscopía
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Child
/
Humans
/
Male
Idioma:
En
Revista:
J Pediatr Surg
Año:
1997
Tipo del documento:
Article
País de afiliación:
Reino Unido
Pais de publicación:
Estados Unidos