EN
TÜRKÇE
Poster - 80
COMPARISON OF TWO VASCULAR SECTION TECHNIQUES IN LAPAROSCOPIC VARICOCELECTOMY: A PROSPECTIVE STUDY
Ana Ramirez Calazans, María Rosa Ibarra Rodriguez, jose ignacio garrido perez, Alvaro Escassi Gil, Rosa María Paredes Esteban
Hospital Universitario Reina Sofía- Córdoba- Spain
INTRODUCTION: Varicocele is an abnormal dilatation of the pampiniform plexus. It can affect up to 20% of adolescent-adult males. The importance of diagnosis is due to the fact that it can induce testicular hypotrophy and fertility problems. The aim of this study is to evaluate whether there is a higher rate of complications, including recurrence of varicocele, depending on the vascular occlusion technique used in the laparoscopic Palomo technique.
MATERIAL AND METHODS: Prospective longitudinal study performed from 2019 to 2023. Two therapeutic groups were created according to the method of vascular occlusion used during laparoscopic varicocelectomy: clip and section or vascular sealer. Patients were included in one group by alternating consecutive systematic allocation. The variables age, degree of varicocele according to the Dubin-Amelar classification, post-surgical complications, follow-up and recurrence of varicocele, according to the method used, were analysed.
RESULTS: 37 boys were operated on, mean age of 12 years (10-15 years) and a mean follow-up of 12 months (8-14 months). 20 patients (54.1%), clips and cut were used, and in 17 (45.9%), vascular sealant. Symptomatic Grade II varicocele was present in 24.3% and Grade III in 75.7%. 32.4% of the boys presented some post-surgical complication during follow-up (8 in clipping group vs 4 in sealing group, p=0.286). 29.7% presented hydrocele after surgery, 8 boys in the sealing group and 3 boys in the clipping group (p=0.138). 13.5% required reoperation for this reason. No patient had recurrence of varicocele.
CONCLUSIONS: The laparoscopic Palomo technique is safe and effective with good results in paediatric patients and presents few post-surgical complications, regardless of the vascular occlusion device used. In our study, no statistically significant differences have been demonstrated in the use of clip vs vascular sealant technique. However, further studies with larger sample sizes are needed to find differences.