Article

Surgical Treatment of Varicocele in Children by the open and Laparoscopic Palomo Technique. a Metanalysis

Federal University of Bahia, Urology, Salvador, Brazil
Journal of Pediatric Urology 01/2008; 4. DOI: 10.1016/j.jpurol.2008.01.056

ABSTRACT PurposeTo evaluate the surgical RESULTS of the varicocele treatment in children by open and laparoscopic and open varicocele technique by means of a systematic review of the literature.Material and MethodsA systematic review was performed based on an English literature search using the MEDLINE® database between 1970 and 2006. The key words used were varicocele and children. All articles that were related to treatment of varicocele in children and adolescents with Palomo technique were selected. The exclusion criteria were age higher than 18 years old and articles which the type of treatment and the outcome were not clear. Of 264 papers evaluated 27 were selected.Results1090 patients who underwent Palomo surgery were included in the analisis. 744 and 1346 patients were treated by the open and the laparocopic Palomo technique, respectively. The rate of postoperative hydrocele, recurrence of the varicocele, testicular catch up and testicular atrophy in the open and laparoscopic Palomo surgery was 10,6 % and 11 % (p > 0,05), 7,08 % and 4,8 % (p > 0,05), 65,6 % and 80 % (p < 0,05), 6 % and 11,2 % (p < 0,05), respectively.Conclusions
This metanalysis of the literature demonstrates that because of the high rate complication, open and laparoscopic Palomo technique should not be recomended.

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