Assessment of Laparoscopic Palomo Procedure in Treatment of Varicocele in Adolescent Particularly on Postoperative Testicular Growth
- VernacularTitle:腹腔镜精索血管高位集束结扎术治疗精索静脉曲张术后睾丸发育评估
- Author:
ting-chong, ZHANG
;
ya-jun, CHEN
;
jin-zhe, ZHANG
- Publication Type:Journal Article
- Keywords:
laparoscopy;
Palomo procedure;
varicocele;
testicular volume;
adolescent
- From:Journal of Applied Clinical Pediatrics
1992;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the laparoscopic Palomo procedure in the management of varicocele in adolescent by assessment of the postoperative testicular growth and the changes of the biggest vessel diameter of varix. Methods From July 1999 to March 2004, laparoscopic high mass - ligation of testicular vessels according to Palomo procedure was performed on 31 boys who all presented with left varicocele Before and after operation at 1 month,3 and 6 months, the biggest vessel diameter of varicocele was measured by ultrasonography, testicular blood supply was evaluated by color Doppler flow imaging(CDFI) ,and fastis was recorded in length, width and thickness by ultrasonographic measurement, which volume was calculated by the formula V =?/6 ? length ? width ? thickness. Also the ratio of left to right testicular volume was calculated, and the left testicle was thought atrophy if the ratio was below 75% The biggest vessel diameter of varix, testicular blood supply, and the postoperative testicular increasing volume were compared before and after operation. Results The biggest vessel diameter of varicocele significantly reduced 1 month after operation(P
