Two-trocar laparoscopic varicocelectomy: cost-reduction surgical technique

Urology
Adel Al-HunayanAwni Al-Ateeqi

Abstract

To describe the technique of two-trocar laparoscopic varicocelectomy and compare it with the standard three-trocar laparoscopic technique in terms of effectiveness, morbidity, and cosmesis. Two matched groups of patients with left varicocele were recruited. Each group included 30 patients. One group underwent three-trocar and the other two-trocar laparoscopic varicocelectomy. The results of the two approaches were compared. No significant differences were found in terms of mean hospital stay or morbidity between the two-trocar and three-trocar techniques. A significant difference was found in the operative time and proportion of patients needing postoperative parenteral narcotic analgesia in favor of the two-trocar technique. In both approaches, the previously infertile patients had a significant improvement in sperm count and motility (P <0.05). Cosmetically, the trocar wound scars were aesthetically superior using the two-trocar technique. No significant difference was found between two-trocar and three-trocar laparoscopic varicocelectomy in terms of effectiveness and morbidity. The cost of an extra 5-mm disposable trocar in the three-trocar technique and the improved cosmesis after the two-trocar technique have made us prefe...Continue Reading

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Citations

Jul 1, 2011·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Peter Chan
Oct 18, 2011·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Roberto Méndez-GallartPablo Rodríguez-Barca
Dec 17, 2008·Journal of Pediatric Urology·Roberto Méndez-GallartRamiro Varela-Cives
Mar 26, 2011·BJU International·Paul DiegidioHarry Fisch
Mar 22, 2007·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·Laurent WagnerUNKNOWN Comite Andrologie de l'Association Française d'Urologie

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