Clinical effectiveness of microsurgical subinguinal varicocelectomy with enhanced recovery after surgery for varicocele

Wang, Xiaobin; Wang, Ruipeng; Du, Qiyun; Pan, Bochen

doi:10.21037/tau-21-908

Cited by 5 publications

(2 citation statements)

References 35 publications

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“…In traditional Chinese medicine, VC belongs to the category of “Jin Shan” and “Jin Liu,” which is related to liver qi stagnation and meridian stasis. The treatment should be soothing the liver, not qi, and nourishing kidney replenishing essence is the main [ 15 ]. In this study, the male infertility patients with VC were treated with Jiawei Sanyu Shengjing decoction combined with high ligation of the spermatic vein.…”

Section: Discussionmentioning

confidence: 99%

The Application Effect of Jiawei Sanyu Shengjing Decoction Combined with High Ligation of the Spermatic Vein in Varicocele Male Infertility Patients

Han

Zhang

et al. 2022

Applied Bionics and Biomechanics

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Objective. To analyze the application effect of Jiawei Sanyu Shengjing decoction combined with high ligation of the internal spermatic vein in male infertility patients with varicocele (VC). Methods. 106 male infertility patients with VC treated in our hospital from December 2018 to March 2019 were selected as examples. According to the length of stay, they were divided into the control group and observation group, with 53 cases in each group. High ligation of the internal spermatic vein was performed in both groups. On this basis, the observation group was treated with modified Sanyu Shengjing decoction, and the therapeutic effects of the two groups were compared. Results. The effective rate of 94.34% in the observation group was higher than 79.25% in the control group ( P < 0.05 ). After treatment, the serum index level and sperm deformity rate in the observation group were lower than those in the control group, and the semen density and sperm activity were higher than those in the control group ( P < 0.05 ). Conclusion. The treatment of VC male infertility with modified Sanyu Shengjing decoction combined with high ligation of the internal spermatic vein can effectively improve the number of sperm and reduce the density of semen.

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Section: Discussionmentioning

confidence: 99%

The Application Effect of Jiawei Sanyu Shengjing Decoction Combined with High Ligation of the Spermatic Vein in Varicocele Male Infertility Patients

Han

Zhang

et al. 2022

Applied Bionics and Biomechanics

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show abstract

“…Although the evaluation is done by a single author, individual variability in pain reactions in visual evaluation should be considered [ 17 ]. Thirdly, testicular pain, reported to persist postoperatively [ 18 ], was not evaluated. Evaluation of the nature of pain and the possibility of the plane block being outside the area of interest may also be the cause of the pain.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of transversalis fascia plane block as a novel ındication for varicocelectomy surgery: prospective randomized controlled study

et al. 2023

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Background Varicocele occurs as a result of dilatation of the pampiniform plexus in the spermatic veins. In this study, our primary aim was to evaluate the effect of Transversalis Fascia Plane Block (TFPB) on pain scores in the postoperative period in patients undergoing varicocelectomy surgery, and our secondary aim was to evaluate the effect of TFPB on analgesic consumption. Methods The study was initiated following local ethics committee approval, and sixty ASA I-II patients > 18y scheduled to undergo varicocelectomy and who consented to participation were enrolled. Before the procedure, the patients were randomly assigned two groups: Transversalis Fascia Plan block group (Group TFPB) or surgical incision site infiltration group (Group I).All surgeries were carried out under general anesthesia, and microsurgery using the subinguinal approach. After surgical suturing, TFPB and local infiltration blocks were applied prior to termination of anesthesia.For each block, 20 mL of 0.25% bupivacaine was utilized. Patients' demographic information, passive and active VAS ratings after surgery, usage of non steroidal anti-inflammatory medications and rescue analgesia, and the requirement for rescue analgesia, were recorded. Results A total of 60 patients were included in the study. In terms of demographic data, there was no difference between the groups. At all hours, there was a statistically significant decrease in favor of Group TFPB in terms of active and passive VAS scores (p < 0.001), non steroidal anti-inflammatory analgesic use (p < 0.05), and tramadol requirement (p < 0.001). Conclusion This study has shown that TFPB can provide a more effective analgesia when compared to surgical site infiltration.

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The effect of spermatic cord block on reducing the risk of vagal reflex during microsurgical subinguinal varicocelectomy: A randomized trial

Gao,

Wu,

et al. 2024

Heliyon

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Clinical effectiveness of microsurgical subinguinal varicocelectomy with enhanced recovery after surgery for varicocele

Cited by 5 publications

References 35 publications

The Application Effect of Jiawei Sanyu Shengjing Decoction Combined with High Ligation of the Spermatic Vein in Varicocele Male Infertility Patients

The Application Effect of Jiawei Sanyu Shengjing Decoction Combined with High Ligation of the Spermatic Vein in Varicocele Male Infertility Patients

Efficacy of transversalis fascia plane block as a novel ındication for varicocelectomy surgery: prospective randomized controlled study

The effect of spermatic cord block on reducing the risk of vagal reflex during microsurgical subinguinal varicocelectomy: A randomized trial

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