Laparoscopic Management of Varicocele--A Hospital based study

Tarun, Agarwal; Veenu, Jain; Dhanesh, Kumar; Sanjay, Pandey
April 2010
Internet Journal of Surgery;2010, Vol. 23 Issue 1, p1
Academic Journal
Background/Purpose: The authors present their experience with laparoscopic ligation of varicoceles (LVL) with and without mass ligation.Methods: Over a period of 3 years, 76 patients underwent laparoscopic treatment of unilateral varicoceles (age range, 9 to 36 years); 35 underwent ligation of veins alone and 41 underwent ligation of testicular veins and artery.Results: The average operation time for the artery-preserved and the artery-ligated group was 36 (range 14 to 50) minutes and 19 (range 12 to 26) minutes, respectively, and the average hospital stay was 26hrs and 21 hrs, respectively. There were no technical failures. Complications were less in the mass-ligation than in the artery-preserved group. At an average follow-up of 24 months (range 6 to 30), all patients were asymptomatic and had marked reduction in the size of the varicoceles.Conclusion: LVL is safe, effective, less time consuming and has excellent post-operative results. LVL should preferably be done with en-bloc mass ligation with an attempt to spare lymphatics.


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