Sir Astley Paston Cooper (1768–1841): The man and his personality

Doganay, Emre

doi:10.1177/0967772013506683

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…Так само вважали багато науковців середньовіччя і нової епохи, наприклад Paston Cooper (1837), один із найвидатніших хірургів ХVІІІ ст., зазначив: «Варикоцеле ледь заслуговує на звання хвороби, злегка посилюється при ходьбі, тривалому стоянні, статевому збудженні. Представлене саме собі, воно мало по малу проходить» [16,40].…”

Section: оглядиunclassified

Varicocele in children and adolescents. History and current view and state of problem (literature review)

Dihtiar¹,

Vernihora²

2021

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A literature review on the subject of varicocele in children which include historical data and question about: etiopathogenesis, epidemiology, diagnostics, treatment and long-term outcomes. The diagnostic method of varicocele unchanged until the XX century and consisted of visual examination and palpation with or without Valsava maneuver. But after entering in diagnostic protocol contrast venography, thermography of testis and ultrasound examination, this protocol have significant changes. For a long time, phlebography has been considered the «gold standard» for the diagnosis of varicocele. But the big disadvantage of this procedure is high invasiveness. Doppler ultrasound mapping has given a new impuls to the diagnosis of varicocele due to minimally invasiveand accessible. G. Liguori, C. Trombetta in their work showed that surgical treatment of varicocele should begin when the testicle size is reduced by more than 20%, or 2 ml of volume in ultrasound examination. Also, the visualization of reflux into the seminal vein is more specific in the ultrasound examination. G. Sigmund et al. introduced the concept of stop-type, shunt-type reflux into the seminal vein. However, in the case of unexplained recurrent varicocele, only antegrade venography can provide sufficient information. The review presents the classic and alternative surgical treatments of varicocele in children. Today it is safe to say that the treatment of varicocele has entered to the era of modern evidence-based medicine. A large number of studies indicate that the expansion of the testicular plexus has a progressive detrimental effect on testicular tissue and leads to a deterioration in sperm count. The methods witch used to correct varicocele earlier was traumatic, but modern surgery has brought many innovative technologies and methods of surgical correction. In addition, there have been impressive developments in bimolecular and functional sperm tests. Nowdays gold standard of surgical treatment varicocele is microsurgical subgingival varicocelectomy but this operation has one big disadvantage. This is possible damage of the testicular artery. The solution of this problem can be obtained by finding new intraoperative way of visualization and defending testicular artery and lymphatic vessels. No conflict of interest was declared by the authors. Key words: varicocele, microsurgical subgingival varicocelectomy, children.

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Section: оглядиunclassified

Varicocele in children and adolescents. History and current view and state of problem (literature review)

Dihtiar¹,

Vernihora²

2021

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“…Astley Cooper, a student of the eminent John Hunter, became the most acclaimed surgeon of his time. He provided a very personal interpretation of varicocele as “orchidoptosis”, consisting of a plastic reduction of the scrotal sac ( Figure-3 ).There is a famous story told by Cooper about one of his patients, an experienced rider, who after undergoing this procedure traveled 50 miles on horseback without any pain ( 20 , 21 ).…”

Section: Antiquitymentioning

confidence: 99%

The history of varicocele: from antiquity to the modern ERA

Marte¹

2018

Int. braz j urol.

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Men have most likely been affected by varicocele since the assumption of the upright position. In De Medicina, written during the first century AD, Celsus credits the Greeks with the first description of a varicocele, and he recorded his own acute observation: “The veins are swollen and twisted over the testicle, which becomes smaller”. Celsus himself is credited with the distinction between varicocele (dilation of surface veins) and “cirsocele” (dilation of deep veins). There has been a long history of treatment attempts and failures, some of which are remarkably strange, that have sometimes cul- minated in tragedy, as in the case of French professor Jacques-Mathieu Delpech (1772-1832). Although some questions regarding the etiopathology and treatment of varico- cele remain unanswered, a succession of more or less conservative attempts involving all medical cultures has been performed throughout history. The report by W.S. Tulloch in 1952 brought varicocele into the era of modern evidence-based medicine, and varicocele surgery finally progressed beyond the aim of merely relieving scrotal pain and swelling. From 1970 to 2000, varicocelectomies gained worldwide attention for the treatment of male infertility. Several innovative procedures to correct varicoceles began to appear in the world's literature as interventional radiology, microsurgery, laparoscopy, and robotics, while comprehensive review articles were also published on the subject of varicocelectomies. Microsurgery is nowadays used worldwide and it can be considered to be the gold standard for correcting infertility linked to varicocele.

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“…Cooper расценивал это состояние как «орхидоптоз» и в качестве лечения предложил пластическую резекцию мошонки (Рис 3). Для доказательства своей правоты он приводил историю своего пациента, который после выполненной операции мог путешествовать верхом на лошади 50 миль без какой-либо боли в мошонке [13,14].…”

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History of Varicocele Surgery

Petrochenkov

Rostovskaya

Ростовская³

2019

jour

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The review describes the history of varicocele treatment development from ancient times to the present day; from the frst mentioning of the disease by early Greeks (works by Celsus and Galen), surgeries of middle-age surgeons until the prime of modern varicocele surgery. In the middle and at the end of the XX century the understanding of this disease and methods of its therapy underwent significant changes. Many methods of varicocele surgery failed to stand the test of time and are of historical interest only. Other methods formed the basis for modern varicocele surgery and promote eﬀective treatment with minimum risk for complications and recurrence.

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Sir Astley Paston Cooper (1768–1841): The man and his personality

Cited by 4 publications

References 6 publications

Varicocele in children and adolescents. History and current view and state of problem (literature review)

Varicocele in children and adolescents. History and current view and state of problem (literature review)

The history of varicocele: from antiquity to the modern ERA

History of Varicocele Surgery

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