Department of Urology, Seoul National University Hospital, Seoul, Korea.
World J Mens Health. 2014 Apr;32(1):56-60. doi: 10.5534/wjmh.2014.32.1.56. Epub 2014 Apr 25.
In the present study, we aimed to identify the incidence of fever in patients after subinguinal microsurgical varicocelectomy and to evaluate the clinical factors associated with the occurrence of the fever.
We retrospectively reviewed the cases of patients who underwent subinguinal microsurgical varicocelectomy (group A) under spinal anesthesia. In addition, we reviewed the cases of patients who underwent microsurgical vasovasostomy under spinal anesthesia as a control group (group B). The incidence of fever in each group was compared. We investigated the clinical factors influencing the occurrence of fever in the patients of group A.
The incidence of fever in group A was significantly higher than that in group B (32.5% [53/163] vs. 0.4% [1/284]; p<0.001). Clinical factors such as age, varicocele grade, weight, height, operation time, number of ligated veins, usage of immediate postoperative analgesics, presence of postoperative hematoma, and duration of hospital stay were not significantly associated with the occurrence of fever.
We found that one-third of the patients developed transient fever after subinguinal microsurgical varicocelectomy, and therefore, this information should be provided during preoperative counseling.
本研究旨在确定隐囊下精索静脉显微结扎术后患者发热的发生率，并评估与发热发生相关的临床因素。
我们回顾性分析了在脊髓麻醉下接受隐囊下精索静脉显微结扎术（A 组）的患者病例。此外，我们还回顾了在脊髓麻醉下接受显微输精管吻合术的患者病例作为对照组（B 组）。比较了每组发热的发生率。我们研究了影响 A 组患者发热发生的临床因素。
A 组发热的发生率明显高于 B 组（32.5%[53/163] vs. 0.4%[1/284]；p<0.001）。年龄、精索静脉曲张程度、体重、身高、手术时间、结扎静脉数量、术后即刻镇痛药物使用、术后血肿、住院时间等临床因素与发热的发生无显著相关性。
我们发现，三分之一的隐囊下精索静脉显微结扎术后患者出现短暂性发热，因此，应在术前咨询中提供这些信息。
