Lima M, Paico Vílchez E, Romeo C, Ruggeri G, Grillone G, Zumaeta Luna L, Domini R
Instituto de Cirugía Pediátrica, Universidad de Bolonia, Italia.
Arch Esp Urol. 1990 Jan-Feb;43(1):37-41.
Varicocele is not an uncommon condition in pre-adolescence. Internal spermatic vein phlebography provides insight into vascular anatomy and etiopathogenesis. Eighty-six cases treated by microsurgical spermatico-epigastric anastomosis (Belgrano technique) are reported. This technique has been shown to achieve a very high cure rate (98.8%). Several techniques of venous anastomosis are described and compared with the Belgrano technique. The results show that the latter is the ideal technique because it not only resolves reflux but also provides adequate venous drainage to the testis.
精索静脉曲张在青春期前并不罕见。精索内静脉造影可深入了解血管解剖结构和发病机制。本文报告了86例采用显微外科精索-腹壁浅静脉吻合术（贝尔格拉诺技术）治疗的病例。该技术已被证明具有很高的治愈率（98.8%）。文中描述了几种静脉吻合技术，并与贝尔格拉诺技术进行了比较。结果表明，后者是理想的技术，因为它不仅能解决反流问题，还能为睾丸提供充足的静脉引流。
