Document Detail

Laparoscopic Palomo varicocelectomy in the adolescent is safe after previous ipsilateral inguinal surgery.
MedLine Citation:
PMID:  11856109     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the outcome of laparoscopic Palomo varicocelectomy (LPV) in young boys who had undergone previous ipsilateral inguinal surgery (in whom potentially the arterial supply to the testicles may be compromised) in an attempt to assess its safety for the collateral vascular supply in such cases. PATIENTS AND METHODS: Over a 5-year period (1995-2000) 44 patients underwent LPV, where both the spermatic artery and vein were ligated high above the internal ring. Thirteen patients had undergone previous ipsilateral inguinal surgery, which included inguinal hernia repairs in five, orchidopexy in two, communicating hydrocele repair in three and previous varicocele repair in three. All patients were followed clinically at 3 months and 1 year after surgery. RESULTS: There were no complications related to laparoscopy or varicocele ligation. No patient developed ipsilateral testicular atrophy; moreover the testis size remained stable or was associated with compensatory growth in all patients. CONCLUSION: Previous inguinal surgery involving the ipsilateral testicle does not appear to affect the collateral blood circulation to the affected testis in boys who undergo LPV mass ligation of the internal spermatic vein and artery. LPV for varicocele is safe in boys who have undergone previous inguinal surgery, suggesting that an adequate collateral blood supply is present.
A Barqawi; P Furness; M Koyle
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  BJU international     Volume:  89     ISSN:  1464-4096     ISO Abbreviation:  BJU Int.     Publication Date:  2002 Feb 
Date Detail:
Created Date:  2002-02-21     Completed Date:  2002-03-22     Revised Date:  2006-07-18    
Medline Journal Info:
Nlm Unique ID:  100886721     Medline TA:  BJU Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  269-72     Citation Subset:  IM    
Department of Pediatric Urology, The Children's Hospital, University of Colorado School of Medicine, Denver, Colorado 80218, USA.
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MeSH Terms
Collateral Circulation / physiology
Inguinal Canal / surgery
Laparoscopy / methods*
Postoperative Care / methods
Retrospective Studies
Second-Look Surgery*
Testis / blood supply
Treatment Outcome
Varicocele / physiopathology,  surgery*

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