Baibakov V. M., Abramov S. V., Ostrovska S. S., Khobotova N. V., Rodionov V. K., Antonova O. V., Tereshchenko N. M.

MORPHO-FUNCTIONAL SUBSTITUTION OF OPTIMAL METHODS OF SURGICAL CORRECTION OF TESTICLE DRAINAGE SYSTEM DISORDERS

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About the author:

Baibakov V. M., Abramov S. V., Ostrovska S. S., Khobotova N. V., Rodionov V. K., Antonova O. V., Tereshchenko N. M.

Heading:

MORPHOLOGY

Type of article:

Scientific article

Annotation:

The study of the features of the organization of morphological structures of testicular drainage systems in the development of minimally invasive methods of surgical correction and reducing the risk of male infertility in the postoperative period is a relevant topic of scientific research. In this work, the total number of vessels of various calibers and nerves of the spermatic cord at three levels was determined on male testicular biopsies by morphological methods using morphometry: a fragment of the spermatic cord in the area of the deep ring of the inguinal canal, the middle third and the distal section of the spermatic cord. The obtained data of morphological and morphometric study of spermatic cord samples confirm the assumption that in the proximal part of the cord there are blood vessels that are larger in size and less significant in number, and nerves, whose diameter is objectively smaller than the nerve trunks, are more concentrated in the direction of the distal part of the cord. It is shown that at all three levels of the studied preparations, the nerves are located in close proximity to the venous vessels, in some places they are tightly adjacent to their walls, which, apparently, makes it possible to isolate the neurovascular bundle with clearly visible larger vessels and at the same time preserve a larger number of nerves. Based on the data obtained, it is proven that the optimal area for surgical intervention in case of violations of the drainage systems of the testicle is the zone at the level of the deep inguinal ring, which significantly reduces the risk of male infertility in the postoperative period.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», 2025 Issue 4, 179, 284-293 pages, index UDC 617-089.844

DOI:

10.29254/2077-4214-2025-4-179-284-293