Laparoscopic Palomo varicocelectomy

Sir, We have been called into question on the proper use of term laparoscopic Palomo varicocelectomy by Letter to the Editor: Nitinkumar Borkar, Nitin K. Kashyap, Debajyoti Mohanty: Is it a Palomo’s operation? Afr J Paed Surg. October-December 2014/Vol 11/Issue 4 371-372 who refer to: Marte A, Pintozzi L, Cavaiuolo S, Parmeggiani P. Single-incision laparoscopic surgery and conventional laparoscopic treatment of varicocele in adolescents: Comparison between two techniques. Afr J Paediatr Surg 2014;11:201-5. It’s unquestionable that the original report of Dr. Alejandro Palomo of J Urol 1949[1] (in prelaparoscopic era) refers to an open retroperitoneal approach with an en bloc section of testicular vascular bundle, and according to the Author, this can be implemented without compromising the testicular vitality. From the original drawings: “Veins and artery have been freed and are removed after clamps have been applied. Proximal and distal stumps of the vessels are ligated by transfixations sutures”.[1