Varicocoelectomy in adolescents: Laparoscopic versus open high ligation technique

Moreira-Pinto, João; Osório, Angélica; Carvalho, Fátima; Castro, João; Sousa, José Ferreira de; Enes, Carlos; Reis, Armando; Cidade-Rodrigues, J. A.

doi:10.4103/0189-6725.78667

Cited by 4 publications

(3 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The number of data sets for the different techniques included the following: inguinal microsurgical with artery- and lymphatic-sparing ( n = 8) 17–24 ; subinguinal microsurgical with artery- and lymphatic-sparing ( n = 11) 21,22,25–33 ; laparoscopic mass-ligation/division ( n = 23) 20,26,34–54 ; laparoscopic lymphatic-sparing ( n = 8) 32,35,39,50,55–58 ; laparoscopic artery-sparing ( n = 5), 38,53,59–61 antegrade embolization/sclerotherapy ( n = 7) 36,54,62–66 ; and retrograde embolization/sclerotherapy ( n = 6). 67…”

Section: Resultsmentioning

confidence: 99%

“…We identified a total of 36 data sets (31 studies) on 3 different types of laparoscopic techniques ( Tables 4 – 6 ). 20 , 26 , 32 , 34 – 61 A total of 14 studies reported on laparoscopic mass-ligation/division alone 34 , 37 , 40 – 49 , 51 , 52 ; 4 studies reported on laparoscopic lymphatic-sparing alone 55 – 58 and 3 studies reported on laparoscopic artery-sparing alone. 59 – 61 Three studies compared laparoscopic mass-ligation/division to laparoscopic lymphatic-sparing techniques, 35 , 39 , 50 two studies compared laparoscopic mass-ligation/division to laparosc...…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Outcome following the surgical management of varicocele in children and adolescents: a systematic review and meta-analysis

Tandon,

Bennett,

Mark Nataraja

et al. 2023

Therapeutic Advances in Urology

View full text Add to dashboard Cite

Background: The ideal surgical approach for the management of varicocele in children and adolescents remains controversial. Several techniques are available including artery- or lymphatic-sparing with optical magnification ( via open inguinal or sub-inguinal approach), laparoscopic, antegrade and retrograde embolization/sclerotherapy. Objectives: We aimed to appraise the clinical outcomes of these techniques in children and adolescents. Data Sources and Methods: A systematic review was conducted (1997–2023). Meta-analysis or proportional meta-analysis for non-comparative studies (Freeman-Tukey transformation) using the random effects model was conducted. Results are expressed as overall proportion % and 95% conﬁdence interval (CI). Results: We identified 1910 studies; 632 duplicates were removed, 1278 were screened, 203 were reviewed and 56 were included, with 12 reporting on 2 different techniques (total of 68 data sets). Optical magnification via inguinal approach (498 cases): recurrence 2.5% (0.6–5.6), hydrocele 1.6% (0.47–3.4), testicular atrophy 1% (0.3–2.0), complications 1.1% (0.2–2.6); optical magnification via sub-inguinal approach (592 cases): recurrence 2.1% (0.7–4.4), hydrocele 1.26% (0.5–2.3), testicular atrophy 0.5% (0.1–1.3), complications 4% (1.0–8.8). Laparoscopic with mass-ligation/division (1943 cases): recurrence 2.9% (1.5–4.6), hydrocele 11.4% (8.3–14.9); complications 1.5% (0.6–2.9); laparoscopic with lymphatic-sparing (974 cases): recurrence 2.4% (1.5–3.5), hydrocele 1.2% (0.45–3.36), complications 1.2% (0.05–3.9); laparoscopic with artery-sparing (228 cases): recurrence 6.6% (2.3–12.9), hydrocele 6.5% (2.6–12.0). Antegrade embolization/sclerotherapy (403 cases): recurrence 7.6% (5.2–10.4), hydrocele 0.8% (0.17–1.9), technical failure 0.6% (0.1–1.6), complications 4.0% (2.3–6.1); retrograde embolization/sclerotherapy (509 cases): recurrence 6.9% (4.6–9.5), hydrocele 0.8% (0.05–2.5), technical failure 10.2% (4.6–17.6), and complications 4.8% (1.0–11.2). Conclusion: The recurrence rate varies between 2.1% and 7.6% and is higher with the embolization/sclerotherapy techniques. Post-operative hydrocele rate varies between 0.8% and 11.4% and is higher with the laparoscopic mass-ligation/division technique. Testicular atrophy has not been reported with the laparoscopic and embolization/sclerotherapy techniques. The retrograde embolization technique is associated with 10% technical failure (inability to complete the procedure). The laparoscopic lymphatic-sparing technique is characterized by the lowest recurrence rate, incidence of hydrocele and other complications, and no reports of testicular atrophy.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Outcome following the surgical management of varicocele in children and adolescents: a systematic review and meta-analysis

Tandon,

Bennett,

Mark Nataraja

et al. 2023

Therapeutic Advances in Urology

View full text Add to dashboard Cite

show abstract

“…36 For the three ports approach, some described the sub umbilical camera port with secondary trocars at midline half way between umbilicus and pubic symphysis, and the other at midclavicular line 1 to 2 cm below horizontal line to the umbilicus while maintaining subumbilical camera port 37 while others described umbilical primary port and both lower abdominal quadrants ports. 38,39 Mitrofanoff A fourport transperitoneal approach is described, with camera at umbilicus, two 5 mm at left lower quadrant and right midaxillary line at the level of the umbilicus. Fourth port at left midaxillary also at umbilical level.…”

Section: Laparoscopic Varicocelectomiesmentioning

confidence: 99%

Is There an Ideal Port Position for Laparoscopic Urological Procedures?

Yunusa¹,

Mishra²,

Chowhan³

2014

WJOLS

View full text Add to dashboard Cite

Background: Reports have suggested increased use of laparoscopy in the treatment of urological diseases and equally wrong port positions as the commonest cause of struggling during surgeries and increased in complications and operative time. Aim: We aimed to find out the ideal positions for laparoscopic ports to be placed during urological procedures. Methods: We performed different laparoscopic tasks in both the upper and lower urinary tract regions, at different ports position making different manipulation angles and operative time recorded. The procedures were performed on both dry and wet laboratory and on human during laparoscopic donor nephrectomies. Results: The average operative time of those ports whose position approximate to manipulation angle of 60º was shorter and more comfortable to the surgeons. Conclusion: There is no ideal positions for port placement in urological procedures based on anatomical landmarks, but rather any position that approximate its manipulation angle to as close to 60º as possible.

show abstract

Assessing safety and efficacy of microscopic and laparoscopic varicocoelectomy for varicocoele treatment: A comparative cohort study

Wang,

Zhu,

Zhang

et al. 2024

Journal of Plastic, Reconstructive & Aesthetic Surgery

View full text Add to dashboard Cite

Varicocoelectomy in adolescents: Laparoscopic versus open high ligation technique

Abstract: LV seems more efficient than open high ligation technique in the treatment of adolescents' varicocoeles. Larger series are necessary to draw more reliable conclusions.

Cited by 4 publications

References 20 publications

Outcome following the surgical management of varicocele in children and adolescents: a systematic review and meta-analysis

Outcome following the surgical management of varicocele in children and adolescents: a systematic review and meta-analysis

Is There an Ideal Port Position for Laparoscopic Urological Procedures?

Assessing safety and efficacy of microscopic and laparoscopic varicocoelectomy for varicocoele treatment: A comparative cohort study

Contact Info

Product

Resources

About