[Transinguinal ligation of the internal seminal vein in varicocele through the mini-approach]

The protocol of ultrasonic examination of patients with varicocele is proposed. The method of endoscopic ligation of the internal seminal vein through open mini-approach has been developed. Forty-five endoscopic transinguinal procedures for left-sided varicocele have been performed. The age of the patients was 17.5+/-0.9 years. Renospermatic reflux was diagnosed in 40 patients, mixed one--in 5 cases. Varicocele of the second grade was revealed in 38 patients, the third grade--in 7. One patient has been operated for varicocele recurrence. Depth of surgical wound was 9.1+/-1.2 mm, number of trunks--from 2 to 8. There was no blood loss. Duration of surgery was 31.5+/-4.4 min. All the patient were examined on day 10 and one month after the surgery with mandatory ultrasonic examination. Neither complications nor recurrences were observed.