Document Detail


Varicocele surgery: 10 years of experience in two pediatric surgical centers.
MedLine Citation:
PMID:  22568541     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: The study was designed to compare recurrence rates and complications after laparoscopic versus open varicocele surgery in children.
SUBJECTS AND METHODS: 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.
Authors:
Anindya Niyogi; Shalini Singh; Azrina Zaman; Ayesha Khan; Cezar Nicoara; Munther Haddad; Nicholas Madden; Simon A Clarke; Azad Mathur; Thomas Tsang; Milind Kulkarni; Ashish Minocha; Diane DeCaluwé
Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study     Date:  2012-05-08
Journal Detail:
Title:  Journal of laparoendoscopic & advanced surgical techniques. Part A     Volume:  22     ISSN:  1557-9034     ISO Abbreviation:  J Laparoendosc Adv Surg Tech A     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-06-07     Completed Date:  2012-10-11     Revised Date:  2013-07-01    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  521-5     Citation Subset:  IM    
Affiliation:
Chelsea and Westminster Hospital, London, United Kingdom. anindya.niyogi@nhs.net
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Ambulatory Surgical Procedures
Child
Humans
Laparoscopy / adverse effects,  methods*,  statistics & numerical data
Male
Recurrence
Retrospective Studies
Testicular Hydrocele / etiology
Varicocele / surgery*
Comments/Corrections
Comment In:
J Laparoendosc Adv Surg Tech A. 2013 Jan;23(1):84   [PMID:  23259575 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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