ABSTRACT
Three patients aged 18, 25 and 31 years with abdominal cryptorchidism and concomitant diseases were treated laparoscopically. Macroscopic amd microscopic evidence said in favor of removal of the testis. In one case this removal was done in line with removal of the dysplastic kidney. In another case plastic surgery was conducted of the inguinal hernia on the side of cryptorchidism.
Subject(s)
Cryptorchidism/surgery , Laparoscopy , Adolescent , Adult , Cryptorchidism/diagnosis , Humans , Male , Orchiectomy/methodsABSTRACT
Laparoscopic treatment of varicocele is described for 37 patients. The operation was performed under endotracheal, epidural and intravenous anesthesia with ligation of the testicular vein in 18 patients. Ligation with the dissection was conducted in 19 patients. On the first postoperative day 2 patients were given promedol (2%, 1.0 ml), the rest were injected baralgin (2-3 injections). The patients were discharged after 1-2 days of hospital stay and resumed their usual way of life 2-7 days after the discharge. One month later varicocele disappeared in 29 patients, diminished in size in 7 patients, pain relief occurred in 15 patients. Due to its advantages (simple performance, good visualization of the testicular vein, minimal use of narcotic drugs, short hospital stay, absence of serious complications) laparoscopic treatment may be considered as a method of choice.