The abnormal enlargement of spermatic cord veins is known as varicoceles. Patients with varicoceles should undergo treatment if they experience pain, atrophy or infertility. Testis normally remains at a lower temperature than other parts of the human body. This is essential for the normal production of sperm. Blood supply to the testis comes from the veins that emerge from within the abdomen. At times the main blood vessel that carries blood to the heart from the testis (testicular vein) gets dilated. As a result of this dilation, the temperature in the testis increases causing some depression in the production of sperm resulting in infertility. This problem can be solved by stopping the blood supply through this dilated vein. The laparoscopic procedure carried out to remove the enlarged veins in the scrotum is known as lap varicocelectomy.
Preparations for surgery
Date for surgery will be fixed only after conducting initial tests to examine the fitness of the patient to undergo surgical procedures and to find out whether any problems related to anesthesia can occur. Your surgeon will tell you how many hours fasting will be required before the surgery is performed. Minimum period of fasting will be six hours which can extent based on the patients overall health condition. The patient may be asked to wear ant-thrombosis stockings to prevent the possibility of blood clotting in the legs.
This procedure is usually performed under general anesthesia. The urinary bladder will be emptied using a urethral catheter. The peritoneal cavity will be inflated using carbon dioxide. Through a small incision of about 1 cm in size in upper part of the abdomen a laparoscope will be inserted. Through other small ½ cm incisions around the first one, the special instruments used for carrying out the surgical procedure are inserted. Laparoscope is an instrument with a camera on one end of a long flexible tube. The other end of the tube is attached to a video monitor placed near the surgeon. Through this monitor the surgeon will be able to view the enlarged videos taken by the camera of the internal organs and the surgery being carried out. By viewing these videos and remotely controlling the special instruments with help of its controls which are available near him, the surgeon carries out the surgery.
Post operative care
After the surgery you will be removed to recovery room. Here patient will be under expert nursing care till he completely recovers after which he will be removed to his room. The next day patient can start with light diet when he feels hungry and slowly he can turn to normal diet later in the day. If you feel normal you will be allowed to go home on the second day and will be asked to come back after one week for a review. There is no need to take rest. You can start normal living as soon as possible except for restrictions in lifting or riding vehicles for about 3 to 4 days.
Benefits of laparoscopic procedures
As the incisions are smaller there will be less pain and the healing will be faster
The patient will be able to resume normal life at an early date as recovery is faster.
There will be no scars after a few months as the incisions are smaller.
Even though the operation charges might be a little more, the overall hospitalization charges will be lesser due to short hospital stay and other allied matters.