ID | 109543 |
Author |
Ishibashi, Hiroki
Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital|Department of Pediatric Surgery, National Kagawa Children’s Hospital
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Mori, Hiroki
Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital
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Yada, Keigo
Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital
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Shimada, Mitsuo
Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital
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Sogami, Tomoko
Department of Pediatric Surgery, National Kagawa Children’s Hospital
Nii, Akira
Department of Pediatric Surgery, National Kagawa Children’s Hospital
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Keywords | Laparoscopic Palomo
Lymphatic sparing
Dye
children
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Content Type |
Journal Article
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Description | The ideal method for varicocelectomy in children remains controversial. We present
our experience with dye-assisted lymphatic-sparing laparoscopic varicocelectomy (LSLV) in children, which overcomes the limitations of previously described techniques. Materials and methods : Five consecutive LSLVs were performed over a period of three years on children with a mean age of twelve years. The varicocele grade was three in one case and grade 2 in four cases, respectively. A left subdartos injection of 2 ml of Indigo carmine dye was done using a 25-gauge needle at ten minutes before an operation. A scrotal injection of lymphatic dye was utilized to spare at least one lymphatic and the remaining spermatic vessels were divided. Results : Lymphatic-sparing was accomplished in all cases. No peri-operative complication was noted.We spared one lymphatic channel in one patient (20%) and two channels in four patients (80%). There were no cases of hydrocele or residual varicocele. Conclusion : Dye-assisted LSLV is easily accomplished with an excellent surgical outcome and sparing one or two lymphatics appears to be sufficient to avoid secondary hydrocele. |
Journal Title |
The journal of medical investigation : JMI
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ISSN | 13431420
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NCID | AA11166929
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Volume | 61
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Issue | 1-2
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Start Page | 151
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End Page | 155
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Sort Key | 151
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Published Date | 2014-02
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EDB ID | |
FullText File | |
language |
eng
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TextVersion |
Publisher
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departments |
Medical Sciences
University Hospital
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