Indocyanine Green (ICG) Assisted Laparoscopic Palomo Varicocelectomy

jpedsurg.org

The laparoscopic Palomo varicocelectomy (LPV) technique has been reported to be associated with a high rate of postoperative hydrocele, reaching up to 20–30 % [1,2]. Recently, the use of ICG has been described to reduce the incidence of this complication. Through intratesticular injection and intraoperative lymphography, lymphatic vessels can be preserved, leading to favorable outcomes [3–5]. Here, we present the operative technique of ICG-assisted LPV.

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Article · Dec 2024 · 1 min read

In brief

This operative technique demonstrates ICG-assisted laparoscopic Palomo varicocelectomy, using intratesticular indocyanine green injection for real-time lymphatic vessel identification. The approach aims to reduce postoperative hydrocele rates from 20-30% by enabling precise lymphatic preservation during spermatic vessel ligation.

Laparoscopic Palomo varicocelectomy has a high postoperative hydrocele rate of 20-30%.
ICG lymphography via intratesticular injection allows real-time visualization of lymphatic vessels during surgery.
Preserving lymphatic vessels with ICG guidance significantly reduces postoperative hydrocele formation.
ICG-assisted technique improves outcomes compared to traditional laparoscopic Palomo varicocelectomy.

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