[Treatment of varicocele using a microsurgical technic].
We operated on 34 patients with varicocele employing microsurgical anastomosis. A direct anastomosis of veins of varicocele with the saphenous vein was performed in 29 patients. Microsurgical spermaticoepigastric anastomosis was performed in 5 patients. The distal stump of the epigastric vein was end-to-end anastomosed with the spermatic vein in one case of type 2 varicocele. Clinical results were satisfactory with varicocele disappearing 33 times out of 34 cases. The shunt between a high regimen pressure with a lower one improve the venous drainage of the testis. These new techniques must be selected according to the pathogenic mechanism of varicocele.
Maione
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II Divisione di Chirurgia, Ospedale di Rho, Milano, Italie.
D000714:Anastomosis, Surgical / Q000379:methods*; D004322:Drainage; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D012008:Recurrence; D014646:Varicocele / Q000601:surgery*
Traitement du varicocèle par la technique microchirurgicale.