RESULTS OF VARICOCELE SURGERY: A COMPARISON OF LAPAROSCOPIC AND CONVENTIENTIAL OPEN HIGH LIGATION | ||||
| The Egyptian Journal of Surgery | ||||
| Article 3, Volume 30, Issue 1, January 2011, Page 14-18 PDF (555.39 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2011.367530 | ||||
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| Author | ||||
| Gouda El-labban* | ||||
| Department of General Surgery, Faculty of Medicine, Suez Canal University, Egypt | ||||
| Abstract | ||||
| Aim: Varicocele is the most frequently observed surgically correctable cause of male infertility. We aim at to evaluate the advantages and the shortcomings of laparoscopic and conventiential open high ligation of varicocele. Methods: a total of 110 patients were operated on for varicocele to evaluate the clinical efficacy of the treatment, the patients were divided into two groups, open varicocelectomy was performed on 50 patients (group 1) and laparoscopic varicocelectomy was performed on 60 patients (group 2). In both groups, the operations were performed by Palomo,s technique by ligation of the vein in the retroperitoneum above the internal ring with the preservation of the artery . Results: The mean hospital stay in open varicocelectomy was longer than in laparoscopic group (with average 3 days and 1.5 days, respectively). Also, patients of laparoscopic varicocelectomy returned earlier to their normal activities (with average 9days and 4.5 days, respectively). Recurrence rates were 6% and 3.3% respectively, postoperative hydrocele occurrence was 4% and 1.7% respectively, wound complication was 6% versus 1.7% and scrotal edema was 8% versus 1.7% in laparoscopic group. Also postoperative pain was less in laparoscopic group. Seminal analysis improved in both groups. Conclusion: Compared to open varicocelectomy, laparoscopic varicocelectomy had shorter convalescence, early return to normal activities and less postoperative morbidity. | ||||
| Keywords | ||||
| Laparoscopic surgery; Palomo; varicocele; testicle | ||||
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