Laparoscopic Simultaneous Ligation of Internal and External Spermatic Veins for Varicocele

Autor:	Yehuda. Sperber, Joel Sayfan, Jack Mesholam, Moshe Dudai
Rok vydání:	1995
Předmět:	medicine.medical_specialty High ligation Percutaneous medicine.diagnostic_test business.industry Urology medicine.medical_treatment Varicocele medicine.disease Surgery medicine Embolization Ligation business Ligature Laparoscopy Spermatic Vein
Zdroj:	Journal of Urology. 153:704-705
ISSN:	1527-3792 0022-5347
DOI:	10.1016/s0022-5347(01)67692-4
Popis:	The conventional treatment of varicocele consists of interruption of reflux in the internal spermatic vein either by open retroperitoneal high ligation, an open inguinal approach or percutaneous embolization. Recently, high ligation of the internal spermatic vein has been performed via laparoscopy. We previously suggested that ligation of the internal spermatic vein alone is not adequate, and a comparative study has shown that our method of trans-inguinal ligation of the internal and external spermatic (cremasteric) veins yields better surgical results. A laparoscopic version of this operation is described, which was performed in 25 patients for 31 ligations (6 bilateral cases). Short-term results (followup at 3 months) have shown that the procedure is safe and effective (no complications, 24-hour hospitalization and 1 case of persistence due to a technical error). This procedure seems to be an attractive alternative to our trans-inguinal combined approach especially if bilateral ligation is necessary.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bce851ede78fb5c768d6fae82f3bc8c7 https://doi.org/10.1016/s0022-5347(01)67692-4 Zobrazit plný text záznamu