Indigo carmine dye-assisted lymphatic-sparing laparoscopic Palomo varicocelectomy in children.
J Med Invest
; 61(1-2): 151-5, 2014.
Article
en En
| MEDLINE
| ID: mdl-24705760
ABSTRACT
UNLABELLED The ideal method for varicocelectomy in children remains controversial. We present our experience with dye-assisted lymphatic-sparing laparoscopic varicocelectomy (LSLV) in children, which overcomes the limitations of previously described techniques. MATERIALS AND METHODS:
Five consecutive LSLVs were performed over a period of three years on children with a mean age of twelve years. The varicocele grade was three in one case and grade 2 in four cases, respectively. A left subdartos injection of 2 ml of Indigo carmine dye was done using a 25-gauge needle at ten minutes before an operation. A scrotal injection of lymphatic dye was utilized to spare at least one lymphatic and the remaining spermatic vessels were divided.RESULTS:
Lymphatic-sparing was accomplished in all cases. No peri-operative complication was noted. We spared one lymphatic channel in one patient (20%) and two channels in four patients (80%). There were no cases of hydrocele or residual varicocele.CONCLUSION:
Dye-assisted LSLV is easily accomplished with an excellent surgical outcome and sparing one or two lymphatics appears to be sufficient to avoid secondary hydrocele.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Varicocele
/
Laparoscopía
/
Colorantes
/
Tratamientos Conservadores del Órgano
/
Carmin de Índigo
/
Sistema Linfático
Tipo de estudio:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Child
/
Humans
/
Male
Idioma:
En
Revista:
J Med Invest
Asunto de la revista:
MEDICINA
Año:
2014
Tipo del documento:
Article