Comotti F, Bronsino E, Aires E, Piemontese F
Ann Osp Maria Vittoria Torino. 1985 Jan-Jun;28(1-6):79-85.
In the surgical treatment of recidivous varicocele, has been adopted in eight patients a personal technique that varies in some points from the Ivanissevich's one. Large dissection and resection of the spermatic vein in peritoneum back zone for 6-8 cm. length, prier ligature of all possible collaterals. In four cases has been applied the microsurgical technique, anastomosing the veins of the spermatic plexus to the saphena vein. Checks performed at distance of time haven't shown any relapsing case. The microsurgical technique should give the more immediate normalization of spermatogenesis.
在复发性精索静脉曲张的外科治疗中，我们对8例患者采用了一种在某些方面与伊万尼塞维奇术式不同的个人技术。在腹膜后区对精索静脉进行大范围分离并切除6 - 8厘米长，预先结扎所有可能的侧支。4例应用了显微外科技术，将精索丛静脉与大隐静脉吻合。随访检查未发现任何复发病例。显微外科技术应能使精子发生更快恢复正常。
