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- W2401766511 abstract "No AccessJournal of Urology1 May 1993Varicocele Vein Ligation in 565 Patients Under Local Anesthesia: A Long-Term Review of Technique, Results and Complications in Light of Proposed Management by Laparoscopy Lawrence S. Ross, and Nancy Ruppman Lawrence S. RossLawrence S. Ross More articles by this author , and Nancy RuppmanNancy Ruppman More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)36392-9AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Several recent reports have suggested that laparoscopic internal spermatic vein ligation provides a simpler, less debilitating and more cost efficient method of varicocele ligation than conventional surgical techniques. We analyzed the results of open varicocele ligation using local anesthesia in 565 patients for 10 years. All surgery was performed in the outpatient setting using 0.5% lidocaine. In most patients 50 to 200meg. fentanyl or 3 to 7mg. midazolam were used for intravenous sedation. The average operating time, including the administration of anesthesia, was 39 minutes for unilateral and 71 minutes for bilateral procedures. All patients returned to light duty work in 24 to 48 hours and full strenuous physical activity within 1 week. The only complications encountered were 2 wound hematomas (0.3%), 4 minor wound separations (0.7%) and 41 hydroceles (7.3%). Semen improvement and pregnancy rates were similar to those reported in prior series. This study demonstrates that varicocele vein ligation can be done rapidly, efficiently and safely using local anesthesia with time of recovery and return to work comparable to those reported for laparoscopic techniques. © 1993 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByJarow J, Ogle S and Eskew L (2018) Seminal Improvement Following Repair of Ultrasound Detected Subclinical VaricocelesJournal of Urology, VOL. 155, NO. 4, (1287-1290), Online publication date: 1-Apr-1996.Matsuda T, Ogura K, Uchida J, Fujita I, Terachi T and Yoshida O (2018) Smaller Ports Result in Shorter Convalescence After Laparoscopic VaricocelectomyJournal of Urology, VOL. 153, NO. 4, (1175-1177), Online publication date: 1-Apr-1995.Dudai M, Sayfan J, Mesholam J and Sperber Y (2018) Laparoscopic Simultaneous Ligation of Internal and External Spermatic Veins for VaricoceleJournal of Urology, VOL. 153, NO. 3, (704-705), Online publication date: 1-Mar-1995. (2018) Re: Should the Testicular Artery be Preserved at Varicocelectomy?Journal of Urology, VOL. 153, NO. 1, (164-164), Online publication date: 1-Jan-1995.Marmar J and Kim Y (2018) Subinguinal Microsurgical Varicocelectomy: A Technical Critique and Statistical Analysis of Semen and Pregnancy DataJournal of Urology, VOL. 152, NO. 4, (1127-1132), Online publication date: 1-Oct-1994. Volume 149Issue 5 Part 2May 1993Page: 1361-1363 Advertisement Copyright & Permissions© 1993 by The American Urological Association Education and Research, Inc.KeywordsvaricocelecomplicationsanesthesiaperitoneoscopyMetricsAuthor Information Lawrence S. Ross More articles by this author Nancy Ruppman More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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- W2401766511 title "Varicocele Vein Ligation in 565 Patients Under Local Anesthesia: A Long-Term Review of Technique, Results and Complications in Light of Proposed Management by Laparoscopy" @default.
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