Operation Marmara in varicocele is considered one of the most popular methods of treatment. Intervention does not require hospitalization, and rarely provokes the development of complications.
When it is possible to carry out
Removal of varicocele on the Marmara recommended in cases of:
- Development of pain in the perineum, which is amplified when urinating, erectile dysfunction, ejaculation.
- Deterioration of sperm quality in the background pathology. The minimal tissue damage contributes to the rapid recovery of the natural operation of the testicles and prevention of infertility.
- Identifying pathology in adolescents. Surgery is recommended for the prevention of infertility.
When the disease loses its natural shape scrotum symmetry, veins become more pronounced, that in most cases adversely affects the confidence men, so an indication for intervention is the removal of cosmetic defects.
when you can not
Temporary contraindication for surgery is an acute form of infectious disease. Surgical intervention is transferred to the time needed for a full recovery of the patient.
Varicocelectomy not assigned to men after stroke. Other contraindications include:
- unstable angina;
- blood disease;
- need for the regular intake of anticoagulants;
- polyvalent allergy.
Decision to abandon the transaction is accepted by the surgeon after assessing the potential risk ratios and the expected benefit to the patient.
How to prepare
Varicocele Marmara operation is assigned only after the ultrasound, which allows to determine the location of the vein feature with varicose. Immediately prior to the intervention of man must pass a series of tests for:
- determining the blood group;
- detecting the presence or absence of hepatitis C, syphilis, HIV infection;
- determining sperm quality;
- clarify the clotting rate.
The patient is required to pass a blood test and a leykoformuloy.
In addition, preparation for surgery require the approval of the therapist, who gives the conclusion on the basis of test results, x-rays, ECG. One day before the surgery, the patient must remove the vegetation in pubic area and perineum. For 12 hours prior to surgery is necessary to abandon meal is forbidden to use water for 2 h.
The operation
For operation at Marmara varicocele of machinery does not use general anesthesia. After performing local anesthesia the surgeon performs an incision in the umbilical ring, which provides access to the testicular vein. The edges of the wound dilute and for its dewatering pressed small vessels.
The next step is the introduction of an additional portion of the anesthetic under the muscle responsible for lifting the eggs. To exclude the development of postoperative complications of the spermatic cord is fixed taped. To the place of performance of an optical system of manipulation is supplied to ensure maximum accuracy of action.
The further course of operation includes:
- Isolation of varicose veins, and the intersection of their dressing.
- Removal by vascular spasm irrigation solution Papaverine. If substandard overlapping vein lumen bleeding occurs after processing.
- Performing additional Valsalva maneuver.
- Suturing tissues. In most cases at this stage it is applied bioresorbable material.
FIELD intervention closed sterile bandage and the patient is transferred to the ward. A man discharged from the hospital after the re-examination in order to avoid bleeding.
recovery period
After discharge from the clinic to be observed man 10 days gentle treatment, excluding the heavy load and abrupt movements, then the patient should appear attending physician. During the course of consultation chosen venotoniki and vitamins, the diet that avoids constipation.
Within a month after the operation by the method of Marmara man should avoid situations that could lead to the increase of the load on the operated area, including weight lifting, cycling, sex.
Complete recovery requires 6 months, during which it is recommended to comply with gentle treatment, abandon the sauna, pool, active sports.
possible complications
Operation of varicocele on the Marmara may provoke a hydrocele, bleeding. The number of complications requiring repeat of the surgery also includes relapse.
When poor-quality processing of seams there is a risk of infection joining, causing the development of inflammation.
