Laparoscopic procedure for varicocelectomy

To report the results of laparoscopic varicocelectomy, a new surgical technique which presents minimal risks and provides an effective management of clinical varicoceles. Between July 1991 and November 1992, 45 laparoscopic varicocelectomies were performed in 44 patients whose ages ranged from 11 to...

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Bibliographic Details
Published inBritish journal of urology Vol. 74; no. 1; p. 112
Main Authors Mischinger, H J, Colombo, T, Rauchenwald, M, Altziebler, S, Steiner, H, Vilits, P, Hubmer, G
Format Journal Article
LanguageEnglish
Published England 01.07.1994
Subjects
Adolescent
Adult
Child
Endoscopy
Humans
Laparoscopy
Length of Stay
Male
Recurrence
Spermatic Cord - blood supply
Spermatic Cord - surgery
Varicocele - surgery
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Summary:To report the results of laparoscopic varicocelectomy, a new surgical technique which presents minimal risks and provides an effective management of clinical varicoceles. Between July 1991 and November 1992, 45 laparoscopic varicocelectomies were performed in 44 patients whose ages ranged from 11 to 41 years. Endoscopic ligation, carried out according to the technique described by Palomo, was performed in 14 patients. In the remaining 30 patients ligation of 31 spermatic veins was performed according to Bernardi's procedure. On post-operative follow-up symptoms disappeared in all the patients treated. Two of the patients showed persistent venous reflux on colour Doppler ultrasound examination. The excellent identification of the anatomical structures, the minimal surgical trauma, the decrease in post-operative morbidity and the quick convalescence of the patients have made this new technique a viable alternative to routine open high ligation.
ISSN:0007-1331
DOI:10.1111/j.1464-410X.1994.tb16557.x