Angiography with fluorescent angiography (indocyanine) is effective in preserving the testicular artery during microscopic varicocele ligation

DOI

Bibliographic Information

Other Title
  • 蛍光血管造影剤 (インドシアニングリーン) は顕微鏡下精索静脈瘤結紮術の精巣動脈温存に有用である

Abstract

<p>  We introduced microscopic low-level ligation for varicocele in December 2018 and have encountered 40 cases by October 2022. It is difficult to identify and preserve the testicular artery during microsurgery, and we often encounter cases in which preservation is difficult.</p><p>  In June 2022, we introduced a method of identifying and preserving the testicular artery by intraoperative administration of indocyanine green (ICG), a fluorescent angiographic agent, and performed this method in 5 cases.</p><p>  We compared the operation time, number of arteries preserved, postoperative complications, and treatment efficacy between 35 cases using the conventional method and 5 cases using the ICG method.</p><p>  No differences were found in patient backgrounds, operation time, postoperative complications, or treatment efficacy between the conventional and ICG methods. However, the ICG method allowed us to preserve the testicular artery significantly more (3.0 vs 1.5, p＝0.02).</p><p>  Our study suggests that intraoperative ICG administration is useful in identifying and preserving arteries.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390298355906422016
  • DOI
    10.11302/jserjje.36.2_285
  • ISSN
    2436875X
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Allowed

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