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Laparoscopic occlusion of testicular veins for clinical varicocele

, : Laparoscopic occlusion of testicular veins for clinical varicocele. Urology 40(2): 113-116

Surgery via the laparoscope is now a reliable and cost-effective alternative to some open surgical procedures. Advances in videoendoscopy, incorporating optical magnification combined with the development of instruments with which to dissect, ligate, and transect blood vessels provide the urologist the opportunity to surgically correct a varicocele. In the outpatient setting, 4 patients (14-26 years of age) underwent laparoscopic ligation of the left internal spermatic veins for painful left varicocele. Carbon dioxide pneumoperitoneum was obtained using a Veress needle. A 10-mm laparoscope was placed intraperitoneally through a cannula inserted in the infraumbilical border. Utilizing two additional endosurgical ports (5 mm and 10 mm) through which 5-mm dissecting instruments and vaso-occlusive endoclips were placed, three veins were individually isolated and ligated in each of the 4 patients. In all 4 patients, the left testicular artery was visualized and preserved. There was no blood loss or other intraoperative complication. In each patient the varicocele was successfully corrected. Analgesic medication was not required postoperatively. We conclude that laparoscopic ligation of the internal spermatic veins is a safe and effective way of treating a varicocele without immediate postoperative sequelae. Long-term follow-up is necessary to determine the place of the endoscopic approach.


PMID: 1386951

Other references

Bird, A.F., 1967: Some observations on exudates from Meloidogyne larvae. Sterile exudates from Meloidogyne larvae appeared not to contain auxins, kinins, gibberellins, indolyl acetic acid oxidase, amylase, pepsin or cellulase and protein-staining bands were not detected by disc electrophoresis but the exudates did cont...

Lillpers, K., 1998: Adaptation of laying hens to a 23.5 h light-dark cycle. 297 hens from 2 White Leghorn lines, selected for egg number (EN) or egg mass (EM) for 8 generations, and 1 commercial Rhode Island Red line, selected for egg mass and feed consumption (EMFC) for 2 generations, were reared under a 8 h light:16 h d...

Fedotchev, A.I.; Zemlyanaya, A.A.; Polevaya, S.A.; Savchuk, L.V., 2016: Attention deficit hyperactivity disorder and current possibilities of its treatment by the method of neurofeedback training. The article provides an overview of the literature data for the past 10 years on the prevalence, specificity of manifestations and approaches to the treatment of attention deficit hyperactivity disorder (ADHD). The current data on the nature and m...

Kirk, Gustav., 1999: Gerrit Anton Brouwer 27th October 1898 - 25th July 1981 Gerrit Anton Brouwer 27 Oktober 1898 - 25 Juli 1981. Saugetierkundliche Mitteilungen, 432: 67-68

Putscher S.; Bachmann G.; Kado H., 1978: The technique of documentation of slope movements. Zeitschrift fuer Angewandte Geologie 24(1): 33-37

Narayanaswami, V.; Wang, J.; Ryan, R.O., 1997: Alpha-Helix to beta-turn substitution provides insight into initiation of exchangeable apolipoprotein-lipid interactions. FASEB Journal 11(9): A1324

Rutter Ernest H.; Gibbons Michael J., 1973: On the tectonics of an area near Laujar, Sierra de Gador, Spain. Geologie en Mijnbouw 52(5): 289-295

Trested, D.G.; Goforth, R.; Kirk, J.P.; Isely, J.J.ffery, 2010: Survival of Shovelnose Sturgeon after Abdominally Invasive Endoscopic Evaluation. The development of effective and minimally invasive techniques to determine gender and gonad developmental stage is particularly important in performing accurate fisheries assessments for use in conservation and restoration. The initial and latent...

Mackowicz, R.; Klarowski, R.; Slawinska, K., 1984: The mute swan Cygnus olor (Gmelin 1789) on Lake Luknajno (north-eastern Poland). The population of mute swans on Lake Luknajno, Poland consists of breeding birds (on the average .apprx. 20 pairs), flocks of non-breeding, molting birds, which numbered as many as 1756 specimens in 1968, and spring and autumnal migrants (.apprx....

Christiansen, M., 1927: Raadyrets Muskeltinte. Maanedsskrift for Dyrlaeger, 39: 481-497