Varicocele surgery: 10 years of experience in two pediatric surgical centers.
J Laparoendosc Adv Surg Tech A
; 22(5): 521-5, 2012 Jun.
Article
in En
| MEDLINE
| ID: mdl-22568541
ABSTRACT
AIM:
The study was designed to compare recurrence rates and complications after laparoscopic versus open varicocele surgery in children. SUBJECTS ANDMETHODS:
A retrospective case-note review of all varicocele surgery over a 10-year period (April 1999-March 2009) in two pediatric surgical centers was performed. Multivariate analysis using logistic regression was performed using SPSS Statistics version 18 (SPSS Inc., Chicago, IL).RESULTS:
Thirty-seven patients had varicocele surgery during the study period. The median age at surgery was 14 years (range, 11-16 years). Most children had left-sided Grade 2 varicocele. Twenty-five (68%) primary procedures were laparoscopic (17 artery-sparing), and 12 (32%) procedures were open (9 artery-sparing). Six (16%) children had recurrence, and 6 (16%) had postoperative hydrocele. Recurrence rates after laparoscopic (16%) and open (17%) surgery were similar. Increasing age significantly decreased recurrence (odds ratio, 0.373; 95% confidence interval 0.161-0.862; P = .021). Although laparoscopy was associated with higher rates of postoperative hydrocele (odds ratio, 2.817; 95% confidence interval, 0.035-3.595; P = .380) and artery-sparing ligation was associated with higher rates of recurrence (odds ratio, 2.667; 95% confidence interval, 0.022-4.235; P = .787), these associations were not statistically significant.CONCLUSIONS:
The best results of varicocele surgery in terms of recurrence and postoperative hydrocele were achieved by open mass ligation; however, larger prospective studies are warranted.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Varicocele
/
Laparoscopy
Type of study:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Child
/
Humans
/
Male
Language:
En
Journal:
J Laparoendosc Adv Surg Tech A
Year:
2012
Document type:
Article