Flores TJE, Heredia JN, Chousleb KA, Shuchleib CS

Language: Spanish
References: 20
Page: 83-86
PDF size: 58.98 Kb.

ABSTRACT

Introduction: There are still different opinions in choosing the ideal technique to varicocelectomy. Objectives: Evaluated surgical trauma in laparoscopic varicocelectomy. Material and methods: Twenty patients were operated with laparoscopic varicocelectomy, and we evaluated the surgical time, hospital stay, discomfort duration, analgesic doses, initiation of daily activities, physical exercise and complications. Results: The surgical time was 21 mins, hospital stay 6 hrs, discomfort duration 12 hrs, postoperative analgesics 1.4 doses, daily activities initiation 48 hrs, physical exercise 72 hrs. No complications were observed. Conclusions: Laparoscopic varicocelectomy is a minimal invasives procedure, simple fast and safe, causes less postoperative pain and it is possible tp initiate daily activities and physical exercise sooner.

REFERENCES

1. Meacham RB, Townsed RR, Rademacher D y cols. The incidence of varicocele in the general population when evaluated by physical examination, gray scale sonography and color Doppler sonography. J of Urol 1995; 153: 704.

2. Goldstein M, Gilbert BR, Dicker AP, y cols. Microsurgical inguinal varicocelectomy with delivery of the testis: An artery and lymphatic sparing technique. J of Urol 1992; 148: 1808-1811.

3. Steckel J, Dicker AP, Goldstein M. Relationship between varicocele size and response to varicocelectomy. J of Urol 1993; 149: 769-771.

4. Matsuda T, Horii Y and Yoshida O. Should the testicular artery be preserved at varicocelectomy? J of Urol 1993; 149: 1357-1360.

5. Kass EJ and Marcol B. Results of varicocele surgery in adolescents: A comparison of techniques. J of Urol 1992; 148: 694-696.

6. Hagood PG, Mehan DJ, Worischeck JH y cols. Laparoscopic varicocelectomy: Preliminary report of a new technique. J of Urol 1992; 147: 73-76.

7. Parrott TS and Hewatt L. J of Urol 1994; 152: 791-793.

8. Matsuda T, Horii Y, Higashi S y cols. Laparoscopic varicocelectomy: A simple technique for clip ligation of the spermatic vessels. J of Urol 1992; 147: 636-638.

9. Jarow JP. Clinical significance of intratesticular arterial anatomy. J of Urol 1991; 145: 777-779.

10. Su L, Goldstein M abd Schlegel PN. The effect of varicocelectomy on serum testosterone levels in infertile men with varicoceles. J of Urol 1995; 154: 1752-1755.

11. Gill IS, Clayman RV and McDougall EM. Advances in urological laparoscopy. J of Urol 1995; 154: 1275-1294.

12. Wishahi MM. Detailed anatomy of the internal spermatic vein and the ovarian vein. Human cadaver study and operative spermatic venography: Clinical aspects. J of Urol 1991; 145: 780-784.

13. Matsuda T, Ogura K, Uchida J y cols. Smaller ports result in shorter convalescence after laparoscopic varicocelectomy. J of Urol 1995; 153: 1175-1177.

14. Gaur DD, Agarwal DK and Purohit KC. Retroperitoneal laparoscopic varicocelectomy. J of Urol 1994; 151: 895-897.

15. Palomo A. Radical cure of varicocele by a new technique: Preliminary report. J of Urol 1949; 61: 604-607.

16. Dudai M, Sayfan J, Mesholam J y cols. Laparoscopic simultaneous ligation of internal and external spermatic veins for varicocele. J of Urol 1995; 153: 704-705.

17. Braedel HU, Steffens J, Ziegler M y cols. A possible ontogenic etiology for idiopathic left varicocele. J of Urol 1994; 151: 62-66.

18. Beck EM, Schlegel PN, Goldstein M. Intraoperative varicocele anatomy: A macroscopic and microscopic study. J of Urol 1992; 148: 1190-1194.

19. Flores TE, Heredia JN, Chousleb KA y cols. Varicocelectomía abierta versus laparoscópica. Reporte preliminar. Revista Mexicana de Urología 1999; 59: 16-18.

20. Flores TE, Heredia JN, Chousleb KA y cols. Técnica quirúrgica de varicocelectomía laparoscópica. Revista Mexicana de Urología 1999; 59: 144-149.