Laparoscopy is a minimally traumatic varicocele and effective method of treating disease. The operation is considered safe due to the low rate of complications during recovery.
Indications for
Laparoscopic surgery is recommended in varicocele:
- Patients 12-18 years if the disease provokes the emergence of severe pain syndrome and a reduction of the testicles.
- For the treatment of bilateral forms of pathology.
- In identifying the reduction of the testes.
Intervention by this principle and prescribe the detection of recurrent disease.
Contraindications
Laparoscopy in varicocele is not assigned in the case of detection of the patient:
- Irreversible testicular atrophy.
- Tumors in the pelvic area.
- Heart failure.
- Low blood clotting.
Temporary contraindication for surgery is the presence of the infectious nature of the disease, acute inflammatory process. Precautions designate surgical treatment in patients with diabetes.
Preparations for the
Laparoscopic varicocelectomy can only be conducted in the absence of contraindications, which is confirmed by the results of a patient survey. In preparation for surgery, the patient is prescribed:
- Laboratory research. The study of the biological material to determine the blood type, the presence or absence of infection. For the evaluation of testicular man should provide the physician with semen analysis.
- Chest X-rays.
- ECG.
- Ultrasound of the genitourinary system.
Surgery in the scrotum can provoke failures in the testes, so 2 weeks before the scheduled date of the operation the man prescribed a course of vitamins and antioxidants. Additionally, the patient is advised to follow a diet conducive to the normalization of digestion. 7 days prior to surgery should stop taking the man of drugs that affect blood clotting.
One day before the operation is necessary to abandon the meal, in the number of permitted product contains only water, tea, broth. The evening before the intervention to the patient do a cleansing enema in the morning you need to stop smoking, consumption of food and fluids.
As is the operation
Before performing anesthesia the estimate of the heart, respiratory system, installed drip intravenous necessary medicines.
Operation begins with varicocele that the abdominal cavity is filled with carbon dioxide through the puncture formed Veress needle. Then, in the navel area laparoscope introduced, visual identification of organs and testicular vein. Only after that are performed punctures required to enter the surgical instruments.
The surgeon makes a small incision in the abdomen to allow access to the vein. By using the dissector vascular bundle located so as to bring the retaining thread under it. Then withdrawn lymph vessels and arteries, veins remaining filament or bandage applied titanium clip.
The final stage is the laparoscopic removal stop bleeding and removal of the venous blood vessels eggs. After all the necessary manipulations removed gas is recovered instruments and sutures. Surgery using a laparoscope to reduce the time of surgery to 50 minutes.
recovery period
When varicocele laparoscopic surgery provides rapid reconstitution of men. After 3-5 hours after the intervention the patient is allowed to go there. During the first 5 days you need to be careful to refuse any sudden movements, take frequent rest breaks, the statement from the clinic carried out on the 3rd day.
During the month after surgery, the patient is recommended wearing a brace and diet, preventing the development of constipation or diarrhea. During this period it is necessary to abandon the active exercise, including weight lifting, swimming pool.
Additionally man prescribed course application of drugs that improve blood circulation and prevent clot formation.
possible complications
Some of the common effects of surgery include:
- bowel obstruction due to poor motility. Subject to the recommendations of the attending physician to restore the digestive system is possible during the day.
- Swelling of the scrotum and the development of pain. Discomfort caused by tissue damage, they disappear on their own within 3-5 days.
In rare cases may develop hydrocele, testicular atrophy, the disease recurrence. The cause of the disease is damage to the spermatic vein, a lymphatic vessel or substandard ligation diseased vein. Diseases accompanied by the development of acute pain, redness and swelling of tissues. The effectiveness of treatment depends on the treated early, so any changes in the state of health of the man should immediately inform your doctor.
