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01-08-2017 | Technical Innovation

Subcutaneous endoscopically assisted ligation of spermatic vessels (SEAL-SV) using an epidural-&-spinal needle: a novel technique to repair adolescent varicocele

Authors: Furan Wang, Yi Chen, Junfeng Zhao, Hongji Zhong, Yan Li, Zhan Shi

Published in: Pediatric Surgery International | Issue 8/2017

Abstract

We describe a novel technique of subcutaneous endoscopically assisted ligation of spermatic vessels (SEAL-SV) using a modified epidural-&-spinal needle. This technique achieves very cosmetic and minimally invasive outcomes. We have successfully performed SEAL-SV for five consecutive boys and considered it a simple, safe, and effective procedure for adolescent varicoceles.

Redmon JB, Carey P, Pryor JL (2002) Varicocele the most common cause of male factor infertility? Hum Reprod Update 8:53–58CrossRefPubMed

Evers JL, Collins JA (2003) Assessment of efficacy of varicocele repair for male subfertility: a systematic review. Lancet 361:1849–1852CrossRefPubMed

Kogan SJ (2001) The pediatric varicocele. In: Gearhart JP, Rink RC, Mouriquand PDE (eds) Pediatric urology. WB Saunders, Philadelphia, pp 763–773

Borruto FA, Impellizzeri P, Antonuccio P et al (2010) Laparoscopic versus open varicocelectomy in children and adolescents: review of the recent literature and meta-analysis. J Pediatr Surg 45:2464–2469CrossRefPubMed

Youssef T, Abdalla E (2015) Single incision transumbilical laparoscopic varicocelectomy versus the conventional laparoscopic technique: a randomized clinical study. Int J Surg 18:178–183CrossRefPubMed

Liu W, Wu R, Du G (2014) Single-port laparoscopic extraperitoneal repair of pediatric inguinal hernias and hydroceles by using modified Kirschner pin: a novel technique. Hernia 18:345–349CrossRefPubMed

Wang F, Zhong H, Chen Y et al (2016) Single-site laparoscopic percutaneous extraperitoneal closure of the internal ring using an epidural and spinal needle: excellent results in 1464 children with inguinal hernia/hydrocele. Surg Endosc [in press]

Bharathi RS, Dabas AK, Arora M et al (2008) Laparoscopic ligation of internal ring-three ports versus single-port technique: are working ports necessary? J Laparoendosc Adv Surg Tech A 18:891–894CrossRefPubMed

Miyano G, Miyahara K, Halibieke A et al (2011) Intraabdominal laparoscopy-assisted “open” vessel ligation of testicular vessels: a potential treatment for varicocele. J Laparoendosc Adv Surg Tech A 21:749–751CrossRefPubMed

10.

Fast AM, Deibert CM, Van Batavia JP et al (2014) Adolescent varicocelectomy: does artery sparing influence recurrence rate and/or catch-up growth? Andrology 2:159–164CrossRefPubMed

11.

Student V, Zátura F, Scheinar J et al (1998) Testicle hemodynamics in patients after laparoscopic varicocelectomy evaluated using color Doppler sonography. Eur Urol 33:91–93CrossRefPubMed

12.

Qi X, Wang K, Zhou G et al (2016) The role of testicular artery in laparoscopic varicocelectomy: a systematic review and meta-analysis. Int Urol Nephrol 48:955–965CrossRefPubMed

13.

Feber KM, Kass EJ (2008) Varicocelectomy in adolescent boys: long-term experience with the Palomo procedure. J Urol 180:1657–1659CrossRefPubMed

14.

Chiarenza SF, Giurin I, Costa L et al (2012) Blue patent lymphography prevents hydrocele after laparoscopic varicocelectomy: 10 years of experience. J Laparoendosc Adv Surg Tech A 22:930–933CrossRefPubMed

15.

Capolicchio JP, El-Sherbiny M, Brzezinski A et al (2013) Dye-assisted lymphatic-sparing laparoscopic varicocelectomy in children. J Pediatr Urol 9:33–37CrossRefPubMed

Title: Subcutaneous endoscopically assisted ligation of spermatic vessels (SEAL-SV) using an epidural-&-spinal needle: a novel technique to repair adolescent varicocele
Authors: Furan Wang
Yi Chen
Junfeng Zhao
Hongji Zhong
Yan Li
Zhan Shi
Publication date: 01-08-2017
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 8/2017
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-017-4117-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Subcutaneous endoscopically assisted ligation of spermatic vessels (SEAL-SV) using an epidural-&-spinal needle: a novel technique to repair adolescent varicocele

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

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