Abstract：Objective: To discuss the measures to avoid the genitofemoral nerves injury in laparoscopic varicocele ligation. Methods: All patients received laparoscopic varicocele ligation through transperitoneal approach with Triport technology. Results: The genitofemoral nerves injury occurred in 4 cases with different degrees, and followed up for 3-10 months after operation. The main clinical features include numbness, pain in inner thigh skin and abated cremasteric reflex. The symptoms disappeared gradually though observation and neural nutrition medicine. Conclusions: Improper opertion caused the genitofemoral nerves injury, and neural nutrition medicine is an effective way to treat it after operation.
[1] 孙道冬,康元上,刘元丰,等. 腹腔镜精索静脉高位结扎术治疗亚临床型精索静脉曲张45例报告.局解手术学杂志,2012,21(4):172-175.
[2] 苏永红,刘向阳,白锡波,等. 腹腔镜精索静脉高位结扎术的疗效分析.临床军医杂志,2010,38(3):440-442.
[3] 韩青江,杨红伟,王艳艳.腹腔镜精索静脉高位结扎术治疗原发性精索静脉曲张36例.中国综合临床,2010,26(12):1324-1325.
[4] Barroso U Jr, Andrade DM, Novaes H, et al. Surgical treatment of varicocele in children with open and laparoscopic Paloma technique: a systematic review of the literature. J Urol, 2009,181(6):2724-2728.
[5] 王策. 生殖股神经在腹膜后间隙手术中的应用解剖.按摩与康复医学,2015,6(9):139-140.
[6] 陆声,徐永清,丁自海,等. 生殖股神经的解剖及临床意义.颈肩痛杂志,2008,29(3):206-208.
[7] 赵疆,白靖平,项泽文,等.生殖股神经腰大肌内段的形态特点及临床意义.中国临床解剖学杂志,2008,26(2):141-143.
[8] Tender GC, Serban D. Genitofemoral nerve protection during the lateral retroperitoneal transpsoas approach. J Neurosurgery, 2013,73(2):192-196.
[9] Mirilas P, Mentessidou A. Microsurgical subinguinal varicocelectomy in children, adolescents, and adults: surgical anatomy and anatomically justified technique. J Androl, 2012,33(3):338-349.
[10] Reinpold WM, Nehls J, Eggert A. Nerve management and chronic pain after open inguinal hernia repair: a prospective two phase study. Ann Surg, 2011,254(1):163-168.
