ABSTRACT
PURPOSE: The most useful surgical procedure for varicocele is ligation of the internal spermatic veins at or above the internal inguinal ring. Percutaneous transfemoral platinum coil embolization of the internal spermatic vein is a minimally invasive technique as compared to traditional or laparoscopic surgery. We evaluated the efficacy and safety of percutaneous embolization for the treatment of varicocele. MATERIALS AND METHODS: From January 2001 to December 2006, 28 patients affected by varicocele underwent percutaneous coil embolization through a transfemoral approach. We retrospectively assessed success rate, procedure time, and complications. All patients underwent follow-up with physical examination or Doppler ultrasound examination after the treatment. RESULTS: Mean operative time was 40.4 minutes. No significant complications happened during or after the treatment. Coil embolization was successful in 27 out of 28 patients(96.43%). CONCLUSIONS: Percutaneous coil embolization of varicocele appears to be a safe, effective, inexpensive, and minimally invasive procedure. It should be considered as a possible first therapeutic option for the treatment of varicocele.
Subject(s)
Humans , Embolization, Therapeutic , Follow-Up Studies , Inguinal Canal , Laparoscopy , Ligation , Operative Time , Physical Examination , Platinum , Retrospective Studies , Ultrasonography , Varicocele , VeinsABSTRACT
Meningeal sarcoma is rare and its clinical course tends to be short. It is a malignant neoplasm arising from connective tissue elements present in meninges. We have experienced a case of 4 years old female patient with headache, palpable mass on left parieto-occipital area. The operation revealed entirely extradurally located, firm, vascular tumor and almost total excision was done. It was histopathologically diagnosed meningeal sarcoma but indisinguishable from malignant meningioma.
Subject(s)
Child, Preschool , Female , Humans , Connective Tissue , Headache , Meninges , Meningioma , SarcomaABSTRACT
Methods for the identification and amplification of signals from quantities of intravascularly administered iodinated contrast agent and their combination with image subtraction have evolved into a clinically useful technique called digital subtraction angiography (DAS). The initial motivation for the development of DSA was the desire to replace standard conventional angiographic procedures with simpler, less invasive techniques. We have evaluated IV-DSA and IA-DSA which are made in 150 patients with clinically suspected intracranial diseases from Dec. 1983 to Mar. 1985. Comparison with IA-DSA and conventional angiography indicated that the quality and information of content of the film were equivalent. IV-DSA image quality was inferior to that of conventional angiography. But IV-DSA can be used for intracranial studies to evaluate results of surgery of aneurysm, AVM or tumor and to revaluate vasospasm after subarachnoid hemorrhage before surgery. Also, IV-DSA can be used for neck vessel appearance due to reveal adequate information.
Subject(s)
Humans , Aneurysm , Angiography , Angiography, Digital Subtraction , Motivation , Neck , Subarachnoid HemorrhageABSTRACT
The spinal schwannomas are the most common spinal cord tumors and they make some regressive changes such as necrosis, mucous or cystic degeneration, caseation or calcification occasionally. We experienced a case of intradural ossifying schwannoma in 17 years old male, which occurred in the 2nd 3rd thoracic region. On operative finding, it was a very hard, pinkish gray and bean sized mass, and it firmly adhered to the spinal cord. We found dark bluish necrotic changes at the adhered sites of the spinal cord. On microscopical finding it revealed multiple foci of myxoid degeneration and osseous metaplasia with fibromatosis structure in schwannoma.