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Laparoscopic Treatment of Varicocele within Adolescents in Two African Countries

Varicocele is often ignored by adolescents and their parents, in our context. The aim of the study is to present the indications and results of laparoscopic treatment in a population of adolescent students. SUBJECTS AND METHODS: It is a descriptive and analytical prospective study over a period of 9...

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Autores principales: Seraphin, Gbenou Antoine, Armand, Fiogbe Michel, Komlatsè, Akakpo-Numado Gamedzi, Serge, Metchihoungbe Codjo, José, Uroz Tristan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7759083/
https://www.ncbi.nlm.nih.gov/pubmed/32952132
http://dx.doi.org/10.4103/ajps.AJPS_28_16
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author Seraphin, Gbenou Antoine
Armand, Fiogbe Michel
Komlatsè, Akakpo-Numado Gamedzi
Serge, Metchihoungbe Codjo
José, Uroz Tristan
author_facet Seraphin, Gbenou Antoine
Armand, Fiogbe Michel
Komlatsè, Akakpo-Numado Gamedzi
Serge, Metchihoungbe Codjo
José, Uroz Tristan
author_sort Seraphin, Gbenou Antoine
collection PubMed
description Varicocele is often ignored by adolescents and their parents, in our context. The aim of the study is to present the indications and results of laparoscopic treatment in a population of adolescent students. SUBJECTS AND METHODS: It is a descriptive and analytical prospective study over a period of 9 months (January to September 2013), focussed on cases of varicocele Grade 3 found in adolescents during a screening, and who underwent surgical treatment by laparoscopy. The laparoscopic treatment was done as part of a training mission to paediatrics surgeons, through a European Non-governmental organisation in two university hospitals in Africa. Of 2724 adolescent students examined, 149 (5.47%) had a varicocele. The average age was 16.39 ± 2.05 years (12 and 19). The side was unilateral (79.19%) with 76.51% left or bilateral (20.81%) (P = 0.00). According to the classification of Dubin and Amelar, there were 58 (38.92%) cases of Grade 1, 66 (44.30%) were Grade 2 and 25 (16.78%) were Grade 3. RESULTS: The laparoscopic treatment was performed in 23 patients with varicocele Grade 3, by modified Palomo's technique, sectioning a segment of vessels between clips (15) between nodes (2) or after coagulation without clips and ligation (6). The hospital stay was 36 h. It has been observed one case of post-operative moderate vaginal hydrocele and 11 cases testicular hypertrophy. CONCLUSION: The laparoscopic treatment of varicocele in adolescents reduces post-operative morbidity related to conventional open surgery. This technique has been available in two poor African countries through partnership north-south.
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spelling pubmed-77590832020-12-28 Laparoscopic Treatment of Varicocele within Adolescents in Two African Countries Seraphin, Gbenou Antoine Armand, Fiogbe Michel Komlatsè, Akakpo-Numado Gamedzi Serge, Metchihoungbe Codjo José, Uroz Tristan Afr J Paediatr Surg Original Article Varicocele is often ignored by adolescents and their parents, in our context. The aim of the study is to present the indications and results of laparoscopic treatment in a population of adolescent students. SUBJECTS AND METHODS: It is a descriptive and analytical prospective study over a period of 9 months (January to September 2013), focussed on cases of varicocele Grade 3 found in adolescents during a screening, and who underwent surgical treatment by laparoscopy. The laparoscopic treatment was done as part of a training mission to paediatrics surgeons, through a European Non-governmental organisation in two university hospitals in Africa. Of 2724 adolescent students examined, 149 (5.47%) had a varicocele. The average age was 16.39 ± 2.05 years (12 and 19). The side was unilateral (79.19%) with 76.51% left or bilateral (20.81%) (P = 0.00). According to the classification of Dubin and Amelar, there were 58 (38.92%) cases of Grade 1, 66 (44.30%) were Grade 2 and 25 (16.78%) were Grade 3. RESULTS: The laparoscopic treatment was performed in 23 patients with varicocele Grade 3, by modified Palomo's technique, sectioning a segment of vessels between clips (15) between nodes (2) or after coagulation without clips and ligation (6). The hospital stay was 36 h. It has been observed one case of post-operative moderate vaginal hydrocele and 11 cases testicular hypertrophy. CONCLUSION: The laparoscopic treatment of varicocele in adolescents reduces post-operative morbidity related to conventional open surgery. This technique has been available in two poor African countries through partnership north-south. Wolters Kluwer - Medknow 2019 2020-09-16 /pmc/articles/PMC7759083/ /pubmed/32952132 http://dx.doi.org/10.4103/ajps.AJPS_28_16 Text en Copyright: © 2020 African Journal of Paediatric Surgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Seraphin, Gbenou Antoine
Armand, Fiogbe Michel
Komlatsè, Akakpo-Numado Gamedzi
Serge, Metchihoungbe Codjo
José, Uroz Tristan
Laparoscopic Treatment of Varicocele within Adolescents in Two African Countries
title Laparoscopic Treatment of Varicocele within Adolescents in Two African Countries
title_full Laparoscopic Treatment of Varicocele within Adolescents in Two African Countries
title_fullStr Laparoscopic Treatment of Varicocele within Adolescents in Two African Countries
title_full_unstemmed Laparoscopic Treatment of Varicocele within Adolescents in Two African Countries
title_short Laparoscopic Treatment of Varicocele within Adolescents in Two African Countries
title_sort laparoscopic treatment of varicocele within adolescents in two african countries
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7759083/
https://www.ncbi.nlm.nih.gov/pubmed/32952132
http://dx.doi.org/10.4103/ajps.AJPS_28_16
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