کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4162297 1274276 2014 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Surgical management of nutcracker phenomenon presenting as left varicocele in adolescents: A novel approach
ترجمه فارسی عنوان
مدیریت جراحی پدیده نجیب زاده که به عنوان واریکوسل چپ در نوجوانان ارائه می شود: رویکرد جدید
کلمات کلیدی
پدیده یخ زدگی، نوجوانان واریکوسل، عملیات شونت
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

ObjectiveTo present a new approach using a shunt operation for the management of nutcracker phenomenon presenting as left varicocele in adolescent patients.Materials and methods12 adolescent patients with the nutcracker phenomenon presenting as left varicocele underwent a shunt operation consisting of anastomosis of the proximal part of the spermatic vein and inferior epigastric vein to lower the left renal vein (LRV) pressure. A simple ligation of the left spermatic vein was then used to repair the varicocele.Results12 patients underwent surgery, and symptoms of hematuria, proteinuria, scrotum discomfort, and flank pain disappeared post surgery in all patients. Patients were followed for 24–72 months (mean 48 months). The diameters of the proximal LRV and the peak velocities in the aortomesenteric portion of the LRV were significantly decreased after surgery (p < 0.001). Left testicular volume significantly increased after surgery. One patient had recurrence of the left varicocele and one adolescent had minimal hydrocele requiring no intervention. No major complications were observed during and after surgery.ConclusionAnastomosis of the proximal part of the spermatic vein and inferior epigastric vein is an efficacious and safe surgical approach for the management of nutcracker phenomenon presenting as left varicocele in adolescents.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Urology - Volume 10, Issue 3, June 2014, Pages 424–429
نویسندگان
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