مضاعفات عمليات إصلاح القيلة الدوالية
Abstract
أجريت الدراسة على66مريضاً راجعوا قسم الجراحة في مشفى الأسد الجامعي في الفترة بين 1-8-2006 إلى 1-2-2008 كان لدى25منهم قيلة دوالية مزدوجة ولدى 29 قيلة دوالية يسرى ولدى مريضين قيلة دوالية يمنى أي أنه أحريت 91 عملية ربط قيلة دوالية.
استخدمت طريقتان لربط القيلة ربطاً علوياً (بالومو) 29حالةوربطاً سفلياً (مارمار) 62 حالة
وتم تسجيل المضاعفات تبعاً للتكنيك المستخدم فأظهرت النتائج بالنسبة للربط العلوي وجود حالتي قيلة مائية6,9% و4حالات نكس13,8% ولم تسجل أية حالة ضمورخصية0% وحالتي زيادة في حساسية الخصية للألم6,9% وبالنسبة للربط السفلي سجلت 6حالات قيلة مائية 9,7%و6حالات نكس 9,7%و حالة ضمورخصية1,6%و9حالات ألم خصوي و زيادة حساسية الخصية للألم14,5%
This study was performed on 66 patients admitted to the department of surgery at Al-Assad University Hospital from 1-8-2008 to 1-2-2008. 25 of them had bilateral varicocele, 2 right varicocele, and 29 had left varicocele, so 91 varicocelectomies were conducted. Two surgical techniques were used: high legation (palomo) and low legation (marmar). The complications were recorded due to the technique used; the result showed that there were two hydroceles (6,9%), 4 recurrent cases (13,8%) in the high legation; testicular hypotrophy was not recorded (0%), but there were 2 cases involving an increase in testicular pain sensitivity (6,9%). In the low legation, the results showed that there are 6 hydroceles (9,7%) , 6 recurrent cases (9,7%), one case of testicular hypotrophy (1,6%), and 9 cases involving an increase in testicular pain sensitivity (14,5%).
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