Laparoscopic Palomo varicocele surgery: Lessons learned after 10years’ follow up of 156 consecutive pediatric patients

Laparoscopic versus open surgical management of idiopathic varicocele: a study on 100 patients

“…12,13 Recurrence rate from nil to 18% have been reported after laparoscopic and open varicocelectomy. 2,8,[14][15][16] In present study, none of patients had post-operative testicular atrophy during follow up period. Classical Paloma's technique i.e.…”

Laparoendoscopic single-site surgery versus conventional laparoscopic varicocele ligation in men with palpable varicocele: A randomized, clinical study

“…Since first being described in 1988 [15], the laparoscopic technique has been considered the preferred method for pediatric and adolescent patients [3]. Initially, high rates of persistent or recurrent varicoceles (3.6-37.5%) were considered a drawback of laparoscopic testicular artery-sparing varicocelectomy [16].…”

“…Several surgical approaches for varicocelectomy have been used, including open inguinal varicocelectomy, subinguinal microscopic varicocelectomy, and, most recently, laparoscopic varicocele ligation. Recent studies and meta-analysis showed that the laparoscopic approach represented a rapid, safe, effective, and minimally invasive alternative for the treatment of varicocele [3][4][5]. Nevertheless, conventional transperitoneal laparoscopic varicocele ligation (CTL-VL) requires relatively several trocar wounds.…”

Single incision transumbilical laparoscopic varicocelectomy versus the conventional laparoscopic technique: A randomized clinical study

“…Percutaneous sclerosis, laparoscopy, retroperitoneoscopy, open surgery) for treatment of varicoceles, there is not currently a gold standard for its treatment [4]. Recent studies showed that the laparoscopic varicocelectomy approach is rapid, safe, effective and minimally invasive option for treatment of varicocele [5,6]. However, microsurgical varicocelectomy is considered by some authors to combine favorable outcomes with a low incidence of recurrence and hydrocele formation [1,7].…”