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Our Results of Laparoscopic Palomo Ligation in Children and Adolescent with Varicocele
Mehmet Nuri CEVİZCİ
Balıkesir Üniversitesi, Çocuk Cerrahisi Anabilim Dalı, Balıkesir, Türkiye

Objective: To present the results of varicocele patients who underwent laparoscopic ligation.

Material and Method: The files of patients who underwent varicocele ligation between January 2013-December 2016 were analyzed retrospectively. The patients were analyzed in terms of demographic data, clinical and radiological findings, operation results and complications. Surgical intervention was performed in patients with significant pain and varicocele on stage 2 and above, whose testicular size was reduced.

Results: Twenty-eight patients were included in the study. The mean age of the patients was 12.71 (10-16) years. The most common complaint was swelling and pain in the upper part of the scrotum. In Doppler ultrasonography, 17 patients (60.7%) had grade 3, 11 patients (39.3%) had grade 2 varicoceles and all of them had varicocele on the left side. Six patients (21.4%) had simultaneous millimetric (4-8 mm) epididymal cysts in the left testicle. Laparoscopic Palomo method was applied to all patients using three ports. The mean operation time was 22.3 min (15-40 min). Hydrocele was detected in 5 patients (17.9%) postoperatiferatively. No recurrence or atrophy was observed in any patient.

Conclusion: Laparoscopic varicocele ligation can be used easily and safely in children and adolescents. Testicular atrophy and recurrence are quite rare. The postoperatiferative hydrocele is usually spontaneously regressed without treatment. It was interesting to us that varicocele epididymis cyst frequently accompany. This association should be questioned with more patient groups.


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