agxАндрология и генитальная хирургияAndrology and Genital Surgery2070-97812412-890210.17650/2070-9781-2016-17-4-44-50agx-212Research ArticleОБЗОРНЫЕ СТАТЬИREVIEWОперативный доступ по линии Веслинга при варикоцелеSurgery for varicocele through Vesling lineКаптоА. А.KaptoA. A.

Россия, 117513 Москва, Ленинский проспект, 131

131 Leninskiy Prospekt, 117513 Moscow, Russia

alexander_kapto@mail.ruМедицинская академия «Генезис»РоссияMedical Academy “Genesis”Russian Federation2016030220171744448Copyright © Капто А.А., 20172017Капто А.А.Kapto A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://agx.elpub.ru/jour/article/view/212

Хронология различных методов хирургического лечения варикоцеле не имеет аналогов в урологии по своей емкости. Поиск новых методов оперативного лечения варикоцеле продиктован достаточно частыми рецидивами и послеоперационными осложнениями. Наименее изученными и редко применяемыми являются операции на мошонке при варикоцеле. В настоящей работе мы сделали попытку изучить эффективность оперативного лечения варикоцеле из мошоночного доступа. В настоящей работе представлен самый большой из опубликованных в последнее время материал оперативного лечения варикоцеле из трансскротального доступа. Инновационными в настоящей работе являются: выполнение разреза мошонки по шву (линии Веслинга), ревизия венозных коллекторов яичка и его придатка с определением направления в них кровотока и симультанное проведение пластики оболочек яичка по В. К. Винкельману для предупреждения развития послеоперационного гидроцеле (А. А. Капто). Полученные данные позволяют нам рекомендовать оперативный доступ по линии Веслинга при двустороннем, рецидивном варикоцеле и при сочетанной патологии органов мошонки.

Chronology of the surgical treatments of varicocele is unique in its capacity for urology. The search for new methods of surgical treatment of varicocele is dictated quite frequent relapses and postoperative complications. The least studied and rarely used operations are on the scrotum varicocele. In this paper we have attempted to study the effectiveness of surgical treatment of varicocele throughscrotal access. In this paper we present the largest of the recently published material surgical treatment of varicocele through scrotal access. Innovative in this work are: the implementation of scrotal incision at the raphe scroti (Vesling line), revision of the venous reservoir testis and epididymis with the definition of the direction in which the blood flow and a simultaneous holding plastic testis shells by W. К. Winkelmann for the prevention of postoperative hydrocele (A.A. Kapto). The obtained data allows us to recommend operative access through Vesling line for treatment of the bilateral, recurrent varicocele and comorbidity of scrotum.

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The authors declare that there are no conflicts of interest present.