SU1743590A1 - Method for treatment of varicocele - Google Patents

Abstract

Usage: in medicine, namely in surgery and urology. The purpose of the invention is to prevent the recurrence of the disease without venous test. The essence of the invention: a skin incision is made in the iliac region at the level of the anterior superior iliac spine along the skin fold. The layers of the retroperitoneal layer expose the testicular vessels. The veins are skeletised and tied at the site of formation near the deep inguinal ring. Look for collaterals and also tie up. Similar actions are performed in the terminal region at the level of the upper third of the lary testicular vein. The vascular trunks cross the clamp, the remaining portion of the testicular vein, intersected between the ligatures, is separated from the peritoneum, freed from the testicular artery and lymphatic collectors, excised along with the outgoing branches. The wound is sutured in layers tightly. Positive effect: in the treatment of the proposed method, relapses for 1.5-2 years were not observed. s / s

Description

This invention relates to medicine, in particular to surgery and urology.

The purpose of the invention is to prevent the recurrence of the disease without a veneering exam.

The goal is achieved by ligating the testicular vein at the site of the formation at the deep inguinal ring and the terminal region at the level of the upper third of the lumbar region, after which the vein between the ligatures is excised together with the branch branches.

The method is carried out as follows.

Under general anesthesia, a skin incision is made in the iliac region at the level of the anterior superior iliac spine along the skin fold. The aponeurosis of the external and internal oblique abdominal muscles cut in the longitudinal direction parallel to

groin fold. The muscles are stupidly diluted along the fibers and stretched with hooks. The parietal leaf of the abdominal sac is moved medially, exposing the testicular vessels. The vein is skeletized at the deep inguinal ring and tied up. Look for collaterals and also tie up. Ligature vessels intersect at the clamp imposed on 5 mm proximal to the ligature. Similar actions are performed in the terminal region at the level of the upper third of the lary testicular vein. All vascular trunks with detected collaterals are ligated with ligatures placed under them, cut at the clamp imposed 5 mm more distantly than the ligature. The remaining portion of the testicular vein, crossed between two ligatures, is separated from the peritoneum, freed from the testicular arteryX 00

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and lymphatic reservoirs, excised over time. The wound is sutured in layers tightly.

Example. Patient G., 12 years old, was admitted to the clinic with a diagnosis of a left-sided Bicocotal, grade III. Developed according to age. The left Ichko is reduced in size, of a dense consistency, dilated veins of the spermatic cord are determined by eye, the Valsal phenomenon is positive, the left scrotum hangs down, the cremasteric reflex is reduced. Attempted operations on the proposed method.

Under general anesthesia, an incision was made in the left iliac region at the level of the anterior superior iliac spine in the skin fold, the aponeurosis of the external and internal oblique abdominal muscles was cut in the longitudinal direction, the muscles were bluntly spread along the fibers and stretched with hooks. The parietal leaf of the peritoneal sac is pushed back medially, testicular vessels lying on the peritoneal sac are found. Textile vein is represented by two trunks with a diameter of 0.6 cm each, one of the veins splits into two vessels. The venous trunks and branches are stitched at the deep inguinal ring. Also, the vein trunks were ligated in the terminal region at the level of the upper third of the lumbar region, where collaterals were also found. Veins between

the ligatures are excised along with the branch branches and collateral. The wound is sutured in layers tightly. During the operation there were no technical difficulties and complications. Vaginal plexus veins collapsed immediately after surgery. Complications were noted. The Valsalva phenomenon is negative. Discharged from the hospital in a satisfactory condition. The effect is maintained for 1.5 years.

dynamic observation.

Claims (1)

The invention The method of treating varicocele by ligating the testicular vein in the retroperitoneal characterized in that, in order to prevent the recurrence of the disease without performing a vento-test, the testicular vein is tied up at the site of the formation of the deep inguinal the rings and in the terminal region at the level of the upper third in the lung region, after which the vein between the ligatures is excised together with the outgoing branches.