subinguinal varicocelectomy with loupes only, sans surgical microscope

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petros mirilas centers for surgical anatomy gntewmoi}u}emmor}n}~mvw{wyt{c{ooooofooemmgiomne1462, clifton road, 30322, atlanta, usa +1-4047275636, [email protected], [email protected]; centers for surgical anatomy gntewmoi}u}emmor}n}~mvw{wyt{c{ooooofooemmgiomne1462, clifton road, 30322, atlanta, usa +1-4047275636, [email protected], [email protected]

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Subinguinal Varicocelectomy With Loupes Only, Sans Surgical Microscope

I would like to comment Abdelrahman and Eassa on their important paper on the assessment of loupe-assist­ ed subinguinal varicocelectomy in infertile men (1). Methodology was complete, including a group of pa­ tients and another of controls, of adequate sample size, defined with valid inclusion and exclusion criteria, and followed-up at 3 and 6 months with measures of seminal count/morphology a...

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Inguinal and subinguinal micro-varicocelectomy, the optimal surgical management of varicocele: a meta-analysis

Conventional meta-analyses have shown inconsistent results for the efficacy of various treatments of varicoceles. Therefore, we performed a multiple-treatment meta-analysis to assess the effectiveness and safety of 10 methods of varicocelectomy and embolization/sclerotherapy. We systematically reviewed 35 randomized controlled trials and observational studies, from 1966 to August 5, 2013, which...

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A novel surgical approach to subinguinal varicocelectomy: artery and lymphatic isolation technique.

Clinically relevant varicoceles require surgical management through one of several techniques. We introduce an innovative technique for varicocelectomy via a subinguinal approach that allows identification and preservation of the arteries and lymphatics. This method allows the safe excision of the varicocele, while minimizing the risk of complications.

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Dye assisted lymphatic sparing subinguinal varicocelectomy. A prospective randomized study.

BACKGROUND Division of lymphatic vessels during varicocelectomy could lead to hydrocele formation and decrease in testicular function due to testicular edema. We determined if the use of methylene blue combined with optical magnification reduces the incidence of post-varicocelectomy hydrocele. METHODS Consecutive patients treated for varicocele at our institution were evaluated for inclusion....

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Anatomical factors affecting the time required for microsurgical subinguinal varicocelectomy

BACKGROUND Microsurgical subinguinal varicocelectomy (MSV) is considered an effective and less morbid procedure, but the difficulty in preserving testicular arteries is a limitation of this procedure. We identified the microanatomy encountered during MSV and clarify its significance to the difficulty of the procedure. METHODS Three hundred and twenty-six patients who underwent left MSV were e...

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Modified subinguinal varicocelectomy for painful varicocele and varicocele-associated infertility.

BACKGROUND Patients with varicocele comprise 15% of males in general population. Varicocele is considered the most cost-effectively treatable cause of male infertility. We introduce a modification in technique of subinguinal varicocelectomy and review the outcome of 58 patients from July 2000 to July 2002. METHODS Four out of the 58 cases had both pain and infertility. For the 31 infertility ...

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عنوان ژورنال:
nephro-urology monthly

جلد ۵، شماره ۱، صفحات ۷۱۵-۷۱۶

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