Surgical Outcomes of Nutcracker Syndrome: A Single Center Experience
/ 0
- Details
- Category: Vol. 93, March 2025
- Hits: 10
Surgical Outcomes of Nutcracker Syndrome: A Single Center Experience, AHMED I. BADRAN, AHMED I. TAWFEEK, MOHAMED H. ABDELATY, WALIED KHEREBA and HOSAM B. BARAKAT
Abstract
Background: Nutcracker syndrome (NCS) is a rare vascu lar compression disorder characterized by left renal vein (LRV) entrapment, leading to various clinical manifestations. Aim of Study: The current study aimed to evaluate the sur gical outcomes of patients with NCS. Material and Methods: A retrospective analysis was con ducted on 10 patients with NCS who underwent surgical inter vention at Tanta University Hospitals, Egypt between January 2021 and February 2024. Intraoperative techniques employed varied based on individual findings, including LRV transposi tion, patch venoplasty, and renocaval bypass grafting. Results: The mean age of the patients was 20.3±3.09 years, with a predominance of males (80%). The mean body mass in dex was 20.5±2.96kg/m2 , and the mean aortomesenteric angle was 24.3±4.14°. Postoperatively, a significant reduction in pain (p<0.001) and hematuria (p=0.010) was observed compared to preoperative levels. Varicocele showed an insignificant differ ence (60% vs 20%, p=0.169). Improvement was noted in 80% of patients, while 20% experienced postoperative infections. Conclusions: Surgical intervention for NCS demonstrated promising outcomes, with significant alleviation of pain and hematuria in the studied cohort. While varicocele improvement was statistically insignificant, the majority of patients experi enced overall symptomatic relief.