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首页> 外文期刊>BJU international >Laparoscopic Palomo varicocelectomy in the adolescent is safe after previous ipsilateral inguinal surgery.
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Laparoscopic Palomo varicocelectomy in the adolescent is safe after previous ipsilateral inguinal surgery.

机译：先前进行同侧腹股沟手术后，青少年腹腔镜Palomo精索静脉曲张切除术是安全的。

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OBJECTIVE: To evaluate the outcome of laparoscopic Palomo varicocelectomy (LPV) in young boys who had undergone previous ipsilateral inguinal surgery (in whom potentially the arterial supply to the testicles may be compromised) in an attempt to assess its safety for the collateral vascular supply in such cases. PATIENTS AND METHODS: Over a 5-year period (1995-2000) 44 patients underwent LPV, where both the spermatic artery and vein were ligated high above the internal ring. Thirteen patients had undergone previous ipsilateral inguinal surgery, which included inguinal hernia repairs in five, orchidopexy in two, communicating hydrocele repair in three and previous varicocele repair in three. All patients were followed clinically at 3 months and 1 year after surgery. RESULTS: There were no complications related to laparoscopy or varicocele ligation. No patient developed ipsilateral testicular atrophy; moreover the testis size remained stable or was associated with compensatory growth in all patients. CONCLUSION: Previous inguinal surgery involving the ipsilateral testicle does not appear to affect the collateral blood circulation to the affected testis in boys who undergo LPV mass ligation of the internal spermatic vein and artery. LPV for varicocele is safe in boys who have undergone previous inguinal surgery, suggesting that an adequate collateral blood supply is present.
机译：目的：评估腹腔镜帕洛莫精索静脉曲张切除术（LPV）在先前接受过同侧腹股沟手术（可能会损害睾丸的动脉供应）的年轻男孩中的结果，以评估其对间接侧支血管供应的安全性。这样的情况。患者和方法：在5年期间（1995年至2000年），有44例患者接受了LPV，其中精索动脉和静脉均被扎在内环上方。 13例患者曾接受过同侧腹股沟手术，其中包括5例进行腹股沟疝修补术，2例进行了兰索佩斯手术，3例进行了鞘膜积液修补和3例进行了精索静脉曲张修补术。在手术后3个月和1年对所有患者进行临床随访。结果：没有腹腔镜检查或精索静脉曲张结扎相关的并发症。没有患者出现同侧睾丸萎缩。此外，所有患者的睾丸大小保持稳定或与代偿性增长有关。结论：先前进行过腹股沟手术的同侧睾丸似乎并未影响精子内静脉和动脉LPV结扎的男孩侧支循环到受影响的睾丸。 LPV用于精索静脉曲张在以前接受过腹股沟手术的男孩中是安全的，这表明存在足够的侧支血供。

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