Chinese Journal of Tissue Engineering Research ›› 2010, Vol. 14 ›› Issue (50): 9475-.doi: 10.3969/j.issn.1673-8225.2010.50.040

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Therapeutic effects of open versus laparoscopic Palomo technique on adolescent varicocele: A Meta analysis

Li Yong-wei1, Yang Si-xing1, Qian Hui-jun1, Yu Xiang-xiang1, Xiao Ru-hong2, Zhao Kai-liang1, Yu Xiao-hui1, Zhou Xiang-jun1, Zhou Guang1   

  1. 1 Department of Urology, Renmin Hospital of Wuhan University, Wuhan  430060, Hubei Province, China; 2 Department of Anesthesiology, First Hospital of Yueyang, Yueyang  414000, Hunan Province, China
  • Online:2010-12-10 Published:2010-12-10
  • Contact: Yang Si-xing, Doctor, Professor, Chief Physician, Doctoral supervisor, Department of Urology, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, China sxyang2004@163.com
  • About author:Li Yong-wei★, Studying for master’s　 degree, Department of Urology, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, China liyongwei_2005@163.com

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Abstract:

BACKGROUND: Various surgery methods are utilized in the treatment of varicocele with each own advantages and disadvantages, how to select a surgery method for treating varicocele in adolescents remains in dispute.
OBJECTIVE: To evaluate the therapeutic effectiveness of the open and laparoscopic Palomo techniques for treating varicocele in adolescents.
METHODS: Clinical randomized controlled trials regarding therapeutic effectiveness of the open and laparoscopic Palomo techniques for treating varicocele in adolescents were searched by computer from Medline, Cochrane library and CBM database using key words of “Varicocele; Palomo” both in English and Chinese. Study selection, data collection, analyses and assessment were undertaken by two reviewers independently. Meta-analyses were done by using RevMan 4.2 software.
RESULTS AND CONCLUSION: Seven trials were chosen in this research, 1 from Chinese, 6 from English, involving a total of   1 206 patients included in the review. Meta-analysis showed that the differences of the postoperative hydrocele rate [OR=0.76, 95%CI(0.28,2.02),P=0.58] and the varicocele recurrence rate [OR=1.22,95%CI(0.48,3.12),P=0.67] between the open and laparoscopic varicocelectomy were not significant. The recurrence rate of the modified Palomo surgery was higher than that of the classic Palomo surgery [OR=0.19, 95%CI(0.05,0.65), P=0.008], but the modified Palomo surgery was superior to the classic Palomo surgery in lowing the postoperative hydrocele rate [OR=8.36, 95%CI(1.88,37.12), P=0.005]. The evidence currently available showed that there was no significant difference between the open and laparoscopic varicocelectomy. And the two different Palomo techiniques had their own advantages and disadvantages in treating varicocele in adolescents.

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