METHOD OF MICROSURGICAL TREATMENT OF VARICOCELE

摘要

FIELD: medicine.;SUBSTANCE: discission of the skin and a subcutaneous fat of 2-3 cm in the projection of the external hole of the inguinal canal is performed. Spermatic cord is isolated and is taken on the holder. It is separated by a conventional longitudinal median line into the medial and lateral halves, followed by Doppler locating of each of them to reveal the testicular artery. Shells of the spermatic cord are dissected. A separate isolation and detailed Doppler exploration of each of the vessels of the half in which the artery was previously identified with the identification and preservation of all its branches are performed, as well as the ligation of all the remaining vessels of this and the opposite half of the spermatic cord.;EFFECT: method allows to reduce the frequency of the postoperative atrophy of the testicle and to reduce the likelihood of recurrences of varicocele.;2 cl, 1 ex, 4 dwg