TY - JOUR TT - Our results of laparoscopic Palomo procedure in the treatment of adolescent varicocele AU - Arslan, Serkan AU - Basuguy, Erol AU - Zeytun, Hikmet AU - Arslan, Mehmet Serif AU - Aydogdu, Bahattin AU - Bayram, Salih AU - Okur, Mehmet Hanifi AU - Önen, Abdurrahman PY - 2017 DA - June DO - 10.21601/ortadogutipdergisi.263866 JF - Ortadoğu Tıp Dergisi JO - omj PB - MEDİTAGEM Ltd. Şti. WT - DergiPark SN - 2548-0251 SP - 56 EP - 60 VL - 9 IS - 2 KW - Palomo KW - varikosel KW - adölesan KW - laparoskopi N2 - Aim:In this study, we aimed to present results of patients operated for varicocele in adolescent age group. Materials and method: Filesof patients who treated for varicocele were retrospectively investigatedbetween February 2012 and February 2016. Patients were evaluated according todemographic data, clinical complaints, physical examination findings andscrotal color doppler ultrasonography outcomes.Varicoceles were stagedaccording to the classification to assess the diameters of dilated veins whichdescribed by Hoekstra et al. Patients whosymptomatic Stage 2-3 varicocele and reduced testicle size were operated.Outcomes and complications of treatment were recorded. Results:Fourteenpatients with a mean age of 13±2 (10-16) were evaluated. All patients presented with scrotal pain andswelling. Varicocele was at the left side in all patients. Seven (50%) patientswere stage 2 and 7 (50%) stage 3. The surgery was performed with laparoscopicPalomo method. Mean operational time was 28±4 (20-45) minutes. None of the patients developed complicationduring surgery. Mean duration of hospitalization was 2 days (1-3) and mean follow-upwas 12±9 (3-48) months. Varicoceles wereresolved in 11 and regressed to stage 1 from 3 in 3 patients. No recurrenceoccurred. Only one patient (7%) developed hydrocele. Conclusion:LaparoscopicPalomo is an advantagous method with high success, low complications, lesspain, earlyreturn to social lifeand good cosmeticresults.Furthermore, thoracoport prepared using aglove in single port laparoscopy can be preferred due to low cost and easyaccessibility. CR - 1. Borruto FA, Impellizzeri P, Antonuccio P, et al. Laparoscopic vs open varicocelectomy in children and adolescents: review of the recent literature and meta-analysis. J Pediatr Surg. 2010;45: 2464-9. CR - 2. Arnold G. Coran. Pediatric Surgery. 7. Edition, Vol:2, Philadelphia: Elsevier,2012: P: 1003-1020, 2012. CR - 3. Palomo A. Radical cure of varicocele by a new technique; preliminary report. J Urol. 1949;61:604-7. CR - 4. Ivanıssevıch O. Left varicocele due to reflux; experience with 4,470 operative cases in forty-two years. J Int Coll Surg. 1960;34:742-55. CR - 5. Hoekstra T, Witt MA. The correlation of internal spermatic vein palpability with ultrasonographic diameter and reversal of venous flow. J Urol. 1995;153:82-4. CR - 6. Pini Prato A, MacKinlay GA. Is the laparoscopic Palomo procedure for pediatricvaricocele safe and effective? Nine years of unicentric experience. Surg Endosc. 2006 ;20:660-4. CR - 7. Schiff J, Kelly C, Goldstein M, Schlegel P, Poppas D. Managing varicoceles in children: results with microsurgical varicocelectomy. BJU Int. 2005;95:399-402. CR - 8. Hirsh AV, Cameron KM, Tyler JP, et al. The Doppler assessment of varicoceles and internal spermatic vein reflux. Br J Urol 1980; 52:50–56. CR - 9. Oyen RH. Scrotal ultrasound. Eur Radiol 2002; 12:19–24. CR - 10. Valentino M, Bertolotto M, Derchi L, et al. Children and adults varicocele: diagnostic issues and therapeutical strategies. J Ultrasound. 2014; 8;17:185-93. CR - 11. Höllwarth ME. Varicocele. Puri P, Höllwarth M (eds): Pe¬diatric Surgery. Springer-Verlag Berlin Heidelberg, 2006, p:569.4. Liguori. CR - 12. VanderBrink BA, Palmer LS, Gitlin J, et al. Lymphatic-sparing laparoscopic varicocelectomy versus microscopic varicocelectomy: is there a difference? Urology. 2007;70:1207-10. CR - 13. Yılmaz E, Hızlı F, Afşarlar ÇE, et al. Adölesanlarda tek port yöntemi ile laparoskopik Palomo varikoselektomi. Çocuk Cerrahisi Dergisi 2015; 29:72-76. CR - 14. Hao W, Chan IH, Liu X, et al. Early post-operative interleukin-6 and tumor necrosis factor-α levels after single-port laparoscopic varicocelectomy in children. Pediatr Surg Int 2012;28:281-6. CR - 15. Chen Q, Zhong L, Wu S, et al. Laparoscopic Varicocelectomy with Single Incision in Children. Urol J. 2015; 23;12:2400-3. UR - https://doi.org/10.21601/ortadogutipdergisi.263866 L1 - https://dergipark.org.tr/tr/download/article-file/319759 ER -