Сравнительная оценка экстраперитонеоскопических и лапароскопических методов лечения варикоцеле

Comparative assessment of extraperitoneoscopic and laparoscopic methods of varicocele treatment

The article presents a comparative analysis of the results of ex-traperitoneoscopic and laparoscopic methods of internal seminal vein ligation in 90 varicocele patients (40 and 50 patients, respectively); describes insufficiently known method - extraperitoneoscopic operations. The working space in the prevesical space is cre ated by direct introduction of trocars with optics into the prevesical space without any additional tools. The operations took the same time. Laparoscopic operations required more postoperative analget ic drugs than extraperitoneoscopic ones. By pain intensity and physical activity scales, varicocele patients' quality of life was higher after extraperitoneoscopic operations than after laparoscopic and open operations. Thus, extraperitoneal ligation of the seminal veins by direct introduction of endoscope into the preperitoneal space with CO₂ insufflation without prior creation of working space is simple for use, low invasive, has low risk of visceral injury and can be applied as an alternative to laparoscopy.