title: [Microsurgical spermatico-epigastric diversion in the treatment of varicocele in pre-adolescent patients].
abstract: Varicocele is not an uncommon condition in pre-adolescence. Internal spermatic vein phlebography provides insight into vascular anatomy and etiopathogenesis. Eighty-six cases treated by microsurgical spermatico-epigastric anastomosis (Belgrano technique) are reported. This technique has been shown to achieve a very high cure rate (98.8%). Several techniques of venous anastomosis are described and compared with the Belgrano technique. The results show that the latter is the ideal technique because it not only resolves reflux but also provides adequate venous drainage to the testis.
authors.affiliation: Instituto de Cirugía Pediátrica, Universidad de Bolonia, Italia.
authors.forename: M
authors.initials: M
authors.lastname: Lima
authors.forename: E
authors.initials: E
authors.lastname: Paico Vílchez
authors.forename: C
authors.initials: C
authors.lastname: Romeo
authors.forename: G
authors.initials: G
authors.lastname: Ruggeri
authors.forename: G
authors.initials: G
authors.lastname: Grillone
authors.forename: L
authors.initials: L
authors.lastname: Zumaeta Luna
authors.forename: R
authors.initials: R
authors.lastname: Domini
mesh_terms: D000293:Adolescent; D000714:Anastomosis, Surgical / Q000379:methods; D002648:Child; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D011627:Puberty; D013737:Testis / Q000098:blood supply; D014646:Varicocele / Q000601:surgery*; D014680:Veins / Q000601:surgery
vernacular_title: Derivación microquirúrgica espermaticoepigástrica en el tratamiento del varicocele en pacientes preadolescentes.