Operation Ivanissevicha varicocele is affordable and effective method of treating disease. During surgery performed ligation of the affected vascular disease.
Indications and contraindications to
Getting rid of varicocele on Ivanissevich recommended in cases when varicose defeat testicular vein:
- It threatens the development of infertility.
- It is running.
- Can lead to complications.
Surgical intervention for this technique is not recommended to patients with:
- severe lesions of internal organs;
- urogenital infections;
- a bleeding disorder;
- lesions of the skin in the area of performing a surgical incision;
- acute disease of an infectious nature.
During exacerbation of chronic diseases delaying operation until the patient is stabilized. In identifying infectious pathologies, skin lesions contraindicated an operation to complete suppression of activity of an infectious agent and the patient's recovery of immunity.
Advantages and disadvantages of operation
The technique, developed Ivanisevichem, remains popular with varicocele removal, even after the emergence of minimally invasive surgery. Operation carried out in this way is different:
- Low cost.
- There was no need to purchase expensive equipment clinic.
- High efficiency in the treatment of patients of all ages.
- Ease of performing surgical procedures.
- The possibility of carrying out at any stage of the disease.
The method is mostly used only in clinics, providing medical services within the framework of free medicine (under the policy). This is due to the fact that the method:
- Traumatic.
- In 30% of cases does not exclude the risk of recurrence.
- It requires hospitalization for a period of 1-2 weeks.
- It has a long rehabilitation period.
- Provokes severe pain.
The disadvantages of the method and decided to attribute the appearance of cosmetic defects in the form of a large scar.
Training
In preparation for operations when varicocele Ivanissevich man must pass tests comprising:
- general analysis of urine and blood;
- biochemical blood analysis;
- spermogrammu;
- research on hormones;
- for HIV, hepatitis;
- blood analysis to determine the blood group.
In cases where you plan to use general anesthesia, you must conduct a preliminary electrocardiogram. Before any surgical intervention the patient is sent to chest X-rays and coagulation. Before removing varicocele additionally operate with Doppler ultrasound scrotum.
Appointment of the date of the transaction is carried out after obtaining permission from the narrow profile specialist (cardiologist, neurologist, anesthesiologist, urologist) and a therapist, confirming the absence of contraindications.
For a week before the scheduled date of a man recommended to stop taking anticoagulants, go on sparing diet, promotes the normalization of the digestive system. At a high risk of developing diarrhea or constipation appropriate medicaments may additionally be assigned. For 12 hours prior to surgery man should completely abandon meal. On the day of surgery is forbidden to take water, smoke. The hair on the abdomen in the area of the incision should be shaved.
technique of
Surgery is recommended with the use of local anesthesia, but general anesthesia may be used for the treatment of patients with mental illness or emotional instability.
The surgeon performs incision in the abdominal wall of the projection of the inguinal canal. Classical slit length is 5 cm. After fixation, the muscle fibers surgeon must select a vascular bundle, which is separated testieular Vienna. Its fixing clip and stop.
If the varicose is subject to more than one Vienna, for the prevention of disease recurrence ligation must be subjected to all the affected vessels. Then, the operation technique involves performing the removal of blood from the veins of the procedure. After checking the hemostatic wound is sutured, installing drainage if necessary. Seam sealed with sterile bandage, and the patient is transferred to the ward. On incision impose cold compress to prevent the formation of haematomas and acute pain.
The postoperative period
Extract from the clinic after removal of varicocele Ivanissevicha operation occurs on day 8 after removing the stitches and controlling the inspection by the surgeon. If the recovery process is moving slowly, the patient has to stay in hospital for another 3-7 days. Long stay in the hospital after surgery is necessary to exclude the likelihood of complications:
- Bleeding.
- Hydrocele.
- Secondary infection.
The list of complications include ligation of the inguinal nerve, helping to reduce sensitivity in the hip area and the appearance of pain in the scrotum. Dangerous mistake surgeon is bandaging or damage to the iliac artery, the patient needs emergency assistance.
The first days the patient must comply with bed rest, so as not to compromise the integrity of the seams. Wake up only with the permission of a surgeon, be sure to use supportive jockstrap. Expressed pain syndrome is an indication for a course of pain medications, the antibiotic can be assigned for the prevention of an inflammatory process.
At discharge, the patient selected individual set of exercises, the implementation of which within 1 month helps to restore the natural activity of injured muscles. Physical activity, including sexual intercourse, is excluded during this period.
The absence of a surgeon the possibility to select all the inflamed vein causes a relapse, so the patient must be for a follow-up visit to the urologist a month after the intervention, and six months later.
