Description

This video demonstrates Laparoscopic Laparoscopic Varicocelectomy by Dr. R K Mishra at World Laparoscopy Hospital. Indications for surgery were subfertility in patients. All varicoceles were confirmed on Doppler ultrasound. A three-puncture technique was used with carbon dioxide insufflation. The spermatic vessels were individually identified and secured and divided by Ligasure were used to ligate the veins. The spermatic artery was preserved in all cases. The operation was performed on a day surgery basis with an average operative time of 30 Minutes. Varicocelectomy is surgery to repair a varicocele. A varicocele is the swelling of veins in the scrotum. This swelling is due to blood backing up in the veins. A varicocele can cause pain or a heavy feeling in the scrotum but is usually painless. It can also cause problems with fertility. During the surgery, the swollen veins are cut and the ends are closed off. Other veins in the groin area then take over carrying the blood supply. The surgery may be done with a method called laparoscopy or through open surgery. During laparoscopy, a thin, lighted tube or scope (called a laparoscope) is used. The scope allows the doctor to work through a few small incisions.