查詢結果分析
相關文獻
- Experience of Varicocele Management During Ipsilateral Inguinal Herniorrhaphy: A Prospective Study
- Does the Use of Clinical Paths Improve the Efficiency and Quality of Care under the Case Payment System for Inguinal Herniorrhaphy or Transurethral Prostatectomy?
- Miniincision for Pediatric Inguinal Herniorraphy
- Inguinal Herniorrhaphy for Uremic Patients on Stable Continuous Ambulatory Peritoneal Dialysis: A Re-Appraisal of Gilbert's Herniorrhaphy
- Giant Lipoma of Spermatic Cord Mimics Irreducible Inguinal Hernia: A Case Report
- 腹腔鏡疝氣手術
- Modified Subinguinal Varicocelectomy for Painful Varicocele and Varicocele-associated Infertility
- Differences in Biochemical Markers and Body Mass Index Between Patients With and Without Varicocele
- 減重策略探討--以康寧護專體重控制班為例
- 減重策略探討--以康寧護專體重控制班為例
頁籤選單縮合
| 題 名 | Experience of Varicocele Management During Ipsilateral Inguinal Herniorrhaphy: A Prospective Study=疝氣修補手術時同時處理同側精索靜脈曲張之經驗 |
|---|---|
| 作 者 | 陳修聖; 黃志賢; | 書刊名 | Journal of the Chinese Medical Association |
| 卷 期 | 73:5 2010.05[民99.05] |
| 頁 次 | 頁248-251+CA43 |
| 關鍵詞 | 身體質量指數; 疝氣修補術; 腹股溝疝氣; 精索靜脈結紮術; 精索靜脈曲張; Body mass index; herniorrhaphy; Inguinal hernia; Microsurgical varicocelectomy; Varicocele; |
| 語 文 | 英文(English) |
| 英文摘要 | Background: This was a prospective study to evaluate the experience of varicocele management during ipsilateral herniorrhaphy in an inpatient urology setting. Methods: A total of 65 patients with varicocele and inguinal hernia scheduled for herniorrhaphy were included for evaluation. They were categorized into 3 groups. Group 1 (n = 20) had painful varicocele and underwent simultaneous herniorrhaphy and varicocelectomy; group 2 (n = 20) had asymptomatic varicocele and received simultaneous herniorrhaphy and varicocelectomy; and group 3 (n = 25) had asymptomatic varicocele and underwent herniorrhaphy only. We used the Bassini method for herniorrhaphy and inguinal microsurgical varicocelectomy for varicocele. Varicocele was diagnosed by physical examination and further confirmed by Doppler ultrasonography. Results: The mean follow-up was 30.2 months (range, 6–56 months). Of the 20 subjects in group 1, complete resolution of scrotal pain was noticed in 14 (70%), and 2 (10%) had hydrocele after varicocelectomy. Of the 20 patients in group 2, 1 (5%) had hydrocele after surgery, and no hydrocele was noticed in group 3 after surgery. Mean operation time was significantly longer in group 1 (70.5±15.2 minutes) and group 2 (69.8±14.5 minutes) than in group 3 (38.2±17.2 minutes). One case in group 1 had recurrent varicocele 6 months after surgery. Of the 25 subjects in group 3, 2 (8%) developed painful varicocele during the follow-up period, and both of them had indirect inguinal hernia and lower body mass index. Conclusion: Simultaneous herniorrhaphy and varicocelectomy are suggested for patients who have inguinal hernia and ipsilateral varicocele, but the average operation time is significantly longer and there is a higher rate of hydrocele than with herniorrhaphy only. |
本系統中英文摘要資訊取自各篇刊載內容。