Postoperative complications of microsurgery combined with dispersing stagnated liver, strengthening spleen and tonifying kidney in varicocele associated infertility

Abstract

Objective Compare the postoperative complications of some kinds of surgical approaches and dispersing stagnated liver, strengthening spleen and tonifying kidney to varicocele associated infertility. Methods From 204 varicocele associated infertility hospitalized patients, which were randomly devided into 4 groups.51 cases of high ligation of spermatic vein with laparoscope(group A);50 cases of ligation of spermatic vein with microscope(group B); 52 cases of microscope with the traditional Chinese medicine(group C);51 cases of microscope with the traditional Chinese medicine(group D), compared postoperative complications(unwell in scrotum, scrotal edemas, hydrocele)after the operations of one week,one month, three months, six months and twelve months in four groups and recurrence of half a year. Results The rate of symptom improvement in D group was significantly better than the other three groups(P<0.05).Over time, there was no statistical difference between four groups. The recurrence rate of D group(0.00%)was obviously lower than A group(11.76%), the B group(2.00%)and the C group(3.85%)(P<0.05). Conclusion Microscope with the traditional Chinese medicine is a good choice in preventing postoperative the rate of symptom and recurrence. Key words: Varicocele; infertility; dispersing stagnated liver qi strengthening spleen tonifying kidney; microsurgery; laparoscopy; complications