title: Thromboses of the pampiniform plexi after subinguinal varicocelectomy.
abstract: OBJECTIVE
  To present the Authors' experience with spermatic vein thrombosis after varicocelectomy.
  
  
  METHODS
  The medical charts of patients treated for varicocele at the Authors' Institution between January 2008 and January 2013 were reviewed; inclusion and exclusion criteria were created. Data were analyzed focusing on the clinical diagnosis of spermatic vein thrombosis after varicocelectomy performed using two different techniques.
  
  
  RESULTS
  After revision of the medical charts and in compliance with the inclusion criteria previously established, 188 patients underwent varicocelectomy: 112 with laparoscopic technique and 76 patients with subinguinal technique. A total of five cases of spermatic vein thrombosis (2.6%) were diagnosed between 6 and 12 days after surgery. All these patients had received the subinguinal technique (6.5%). All the patients were managed conservatively.
  
  
  CONCLUSIONS
  Spermatic vein thrombosis after surgery is a rare complication but its onset should be considered as a possible event in patients with inguinal and scrotal pain. To manage this condition after diagnosis surgeons may opt for a surgical or clinical approach, either with drugs or local heat, rest and scrotal support.
authors.affiliation: Department of Surgical Sciences, Pediatric Surgical Unit, University of Verona, Policlinico G.B.Rossi, Piazzale L.A.Scuro, n.1, 37134, Verona, Italy, zampius@libero.it.
authors.forename: Nicola
authors.initials: N
authors.lastname: Zampieri
authors.forename: Roberto
authors.initials: R
authors.lastname: Castellani
authors.forename: Alberto
authors.initials: A
authors.lastname: Mantovani
authors.forename: Gabriela
authors.initials: G
authors.lastname: Scirè
authors.forename: Marta
authors.initials: M
authors.lastname: Peretti
authors.forename: Gianfranco
authors.initials: G
authors.lastname: Zampieri
authors.forename: Francesco Saverio
authors.initials: FS
authors.lastname: Camoglio
mesh_terms: D000293:Adolescent; D000328:Adult; D006801:Humans; D007264:Inguinal Canal; D008297:Male; D011183:Postoperative Complications / Q000209:etiology*; D013085:Spermatic Cord / Q000098:blood supply*; D013927:Thrombosis / Q000209:etiology*; D014646:Varicocele / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods; D014680:Veins; D055815:Young Adult