In which part of the varicocele surgery is the incision made?

Condition analysis: varicocele is an abnormal expansion, elongation and tortuosity of the trailing venous plexus in the spermatic cord. Incidence: the incidence rate is about 20% in ordinary men and about 40% in infertile men. It is mostly seen in young and middle-aged men. Main manifestations: painless earthworm-like mass in the scrotum, sensation of scrotal swelling, vague pain Main effects: affect sperm quality, leading to infertility. Advice: Surgery: Surgery and access surgery 2 major categories. Specifically as follows: 1. Transinguinal route and subinguinal route: including traditional open surgery and microscopic techniques. Overall, worldwide, traditional open and microscopic techniques go hand in hand. The subinguinal incision for spermatic vein ligation is considered superior to the transinguinal route because it does not require incision of the external abdominal oblique tendon membrane, is mildly painful, and has a quicker postoperative recovery. The ability to recognize testicular arteries, lymphatics and veins of smaller diameter is considered the basis for the superiority of microscopic techniques of spermatic vein ligation over other methods in terms of postoperative complication rates and improvement in semen parameters and conception rates on a comprehensive assessment.2. Transperitoneal retroperitoneal route: i.e., Palomo's procedure, which consists of a cluster ligation with preservation of the testicular arteries and without preservation of the arteries. This procedure is easier to perform, but the incidence of recurrence and persistence of varicocele can be 10% to 15%.　3. Laparoscopic internal spermatic vein ligation Laparoscopic technique of internal spermatic vein ligation has achieved good results. It has the advantages of recognizing and protecting the testicular artery under magnification and can treat bilateral lesions at the same time. The recurrence rate of laparoscopic spermatic vein ligation is 2-11%, and postoperative edema occurs in about 5-8%. There have been attempts to apply lymphatic tracers intraoperatively in order to identify and protect the lymphatic vessels, and the skeptics believe that this method can impair spermatogenesis, and some of them believe that adopting extraperitoneal operations, which can be done almost outpatiently, into a procedure that needs to be performed via the peritoneal cavity, is invasive and, on the other hand, adds to the cost.　4. Percutaneous embolization techniques: These include both cis- and retrograde techniques, which are more commonly used by interventionalists. Embolization can be achieved by gelatin sponges, spring coils and sclerotherapy. Despite the low recurrence rate and the absence of postoperative edema, the postoperative pregnancy rate of percutaneous embolization in the treatment of varicocele is unsatisfactory, and there are also the problems of operative failure and high cost to be considered. However, percutaneous varicocele embolization is well suited in the management of recurrent varicocele or persistent varicocele that requires anatomical clarification by angiography. Specific surgical methods and ways of surgery surgeon will be in your detailed account, whether you need surgery and choose which surgical methods need to be combined with your clinical reality and your own opinion. I hope this will help you