OPTIMIZATION OF SURGICAL TREATMENT METHODS FOR VARICOCELE
Abstract
The study included the results of treatment of 376 patients with left-sided varicocele admitted to the surgical department of the Tashkent City Clinical Hospital No. 1 named after Ibn Sino. Depending on the method of surgical intervention, 2 groups of patients were identified. In 2009-2014 181 patients underwent conventional surgical interventions (Ivanissevich or Palomo operations), which made up the comparison group. From 2015 to 2022 195 patients underwent subinguinal selective surgeries (antegrade endovascular sclerotherapy of the left testicular vein (LTV) and Marmar surgery), which were included in the main group. So, compared to 2009-2014. the frequency of postoperative complications decreased from 12.7 to 2.6%, i.e. almost 5 times in the main group. Antegrade angiosclerotherapy of PTV is more easily tolerated by patients compared to traditional operations, and this operation is cost-effective, reduces the length of hospital stay compared to other surgical interventions.
References
Abduraxmanov D. A., Khaidarova L. O. Modern views on pathologic, medico-biological problems of the liver //International Scientific review of the problems of natural Sciences and medicine. – 2020. – pp. 44-57.
1. Abduraxmanov D. Sh. The choice of treatment of patients with ventral hernias and morbid obesity by performing combined hernio- and abdominoplasty //Pedagogical sciences and teaching methods. – 2023. – Vol. 2. – No. 21. – pp. 102-104.
2. Abduraxmanov D. Sh., Khaidarova L. O. Quality of life of patients who underwent echinococcectomy from the liver //Issues of science and education. – 2020. – №. 41 (125). – Pp. 81-91.
3. Agarwal A., Hamada A., Esteves S. C. Insight into oxidative stress in varicocele-associated male infertility: part 1 //Nature Reviews Urology. – 2012. – Т. 9. – №. 12. – С. 678.
4. Cortés-Gutiérrez E. I. et al. DNA damage in spermatozoa from infertile men with varicocele evaluated by sperm chromatin dispersion and DBD-FISH //Archives of gynecology and obstetrics. – 2016. – Т. 293. – №. 1. – С. 189-196.
5. Davlatov S. S., Khamdamov B. Z., Abduraxmanov D. S. Postoperative ventral hernias (text): Monograph //Tibbiyot ko'zgusi». Samarkand. – 2021.
6. Fariello R. M. et al. Effect of smoking on the functional aspects of sperm and seminal plasma protein profiles in patients with varicocele //Human Reproduction. – 2012. – Т. 27. – №. 11. – С. 3140-3149.
7. Shonazarov I. S., Abduraxmanov D. S. Transdrainage sanitation of the biliary tract with anolyte and catholyte solutions of sodium hypochlorite in the treatment of cholangitis //Sustainability of education, socio-economic science theory. – 2023. – Т. 1. – №. 9. – С. 1-2.
8. Zohdy W., Ghazi S., Arafa M. Impact of varicocelectomy on gonadal and erectile functions in men with hypogonadism and infertility //The journal of sexual medicine. – 2011. – Т. 8. – №. 3. – С. 885-893.