LAPAROSCOPIC VARICOCELECTOMYLaparoscopic varicocele ligation was performed under spinal anaesthesia, with the patient in the supine position with the head down to 10-15 degrees. A pneumoperitoneum was created with the open Hassen technique through a supraumblical incision. Two working ports were placed in both the iliac fossae and the operating surgeon stood on the cotralateral side of the operating table and used the working ports, while the assistant stood on the ipsilateral side and controlled the telescope. After the diagnostic laparoscopy, the spermatic vessels were identified and the overlying peritoneum was divided. The vascular bundle was then carefully grasped and it was dissected approximately 3 to5 cms from the parietal peritoneum. The testicular artery was not always searched and the vascular bundles were clipped approximately 3 to 5 cms above the deep inguinal ring. The operative time was noted from the induction of the anaesthesia till the last skin suture Laparoscopic varicocelectomy is a minimally invasive procedure that is easy to perform with simple instruments. Not only varicocelectomy, even other abdominal pathologies can be ruled out by laparoscopic procedures. A laparoscopic approach is better in patients with obesity as compared to the conventional open procedures. As compared to the open technique, laparoscopic varicocelectomy has minimal post-operative morbidity, a shorter hospital stay and an early return to normal activities. Hence, from our study, we recommend that the conventional open method be replaced by the laparoscopic technique for varicocele ligation |
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