RU2017146452A - METHOD FOR LOW-INVASIVE MICROSURGICAL VARICOCELECTOMY AND CASTAL ACCESS - Google Patents

METHOD FOR LOW-INVASIVE MICROSURGICAL VARICOCELECTOMY AND CASTAL ACCESS Download PDF

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Publication number
RU2017146452A
RU2017146452A RU2017146452A RU2017146452A RU2017146452A RU 2017146452 A RU2017146452 A RU 2017146452A RU 2017146452 A RU2017146452 A RU 2017146452A RU 2017146452 A RU2017146452 A RU 2017146452A RU 2017146452 A RU2017146452 A RU 2017146452A
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RU
Russia
Prior art keywords
fascia
veins
varicocelectomy
access
spermatica
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RU2017146452A
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Russian (ru)
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RU2663074C2 (en
RU2017146452A3 (en
Inventor
Евгений Александрович Ефремов
Ярослав Игоревич Мельник
Валерий Викторович Симаков
Екатерина Анатольевна Ефремова
Юрий Васильевич Кастрикин
Original Assignee
Федеральное государственное бюджетное учреждение "Национальный медицинский исследовательский центр радиологии" Министерства здравоохранения Российской Федерации (ФГБУ "НМИЦ радиологии" Минздрава России)
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Priority to RU2017146452A priority Critical patent/RU2663074C2/en
Publication of RU2017146452A publication Critical patent/RU2017146452A/en
Publication of RU2017146452A3 publication Critical patent/RU2017146452A3/ru
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Laser Surgery Devices (AREA)
  • Surgical Instruments (AREA)

Claims (1)

Способ малоинвазивной микрохирургической варикоцелэктомии мошоночным доступом, включающий выполнение проводниковой анестезии по ходу семенного канатика, местной инфильтративной анестезии кожи в области разреза и использование оптического увеличения 4,5Д и более, отличающийся тем, что линейный разрез кожи 2-3 см проводят латеральнее от шва мошонки (raphe scroti), далее тупым путем обнажают левый семенной канатик и выводят в рану, затем осуществляют послойное вскрытие fascia spermatica externa, fascia cremasterica и fascia spermatica interna и идентифицируют вены лозовидного сплетения, все расширенные вены лозовидного сплетения освобождают от окружающих структур, далее выделенные вены проксимально и дистально лигируют и затем их рассекают между лигатурами, при этом семявыносящий проток, яичковую артерию, лимфатические сосуды и нервы сохраняют, после чего операционную рану послойно ушивают отдельными узловыми швами наглухо.A method of minimally invasive microsurgical varicocelectomy with scrotal access, including conduction anesthesia along the spermatic cord, local infiltrative anesthesia of the skin in the incision area and the use of optical magnification 4.5D or more, characterized in that a linear skin incision of 2-3 cm is carried out laterally from the scrotum suture ( raphe scroti), then bluntly expose the left spermatic cord and lead into the wound, then perform a layered autopsy of fascia spermatica externa, fascia cremasterica and fascia spermatica interna and identify the veins of the trellis weaving, all expanded veins of the plexus plexus are freed from surrounding structures, then the selected veins are proximal and distally ligated and then dissected between the ligatures, while the vas deferens, testicular artery, lymphatic vessels and nerves are retained, after which the surgical wound is sutured in layers by separate nodal sutures and brazen .
RU2017146452A 2017-12-28 2017-12-28 Method of minimally invasive microsurgical varicocelectomy by osheal access RU2663074C2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
RU2017146452A RU2663074C2 (en) 2017-12-28 2017-12-28 Method of minimally invasive microsurgical varicocelectomy by osheal access

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Application Number Priority Date Filing Date Title
RU2017146452A RU2663074C2 (en) 2017-12-28 2017-12-28 Method of minimally invasive microsurgical varicocelectomy by osheal access

Publications (3)

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RU2017146452A true RU2017146452A (en) 2018-03-01
RU2017146452A3 RU2017146452A3 (en) 2018-05-25
RU2663074C2 RU2663074C2 (en) 2018-08-01

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RU2017146452A RU2663074C2 (en) 2017-12-28 2017-12-28 Method of minimally invasive microsurgical varicocelectomy by osheal access

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2756019C1 (en) * 2020-10-08 2021-09-24 Павел Сергеевич Кызласов Minimally invasive method for surgical treatment of varicocele

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2222267C2 (en) * 2002-01-22 2004-01-27 ФГУ Омская государственная медицинская академия Method for legating testicular vein in its inferior one third with minimum exposure

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RU2663074C2 (en) 2018-08-01
RU2017146452A3 (en) 2018-05-25

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