Two-trocar laparoscopic varicocelectomy: Cost-reduction surgical technique - 16/08/11
, Hamdy Abdulhalim, Elijah O. Kehinde, Ehab El-Barky, Khaleel Al-Awadi, Awni Al-Ateeqi
Reprint requests: Adel A. Al-Hunayan, M.D., Department of Surgery, Division of Urology, Kuwait University Faculty of Medicine, P.O. Box 24923, Safat 13110, Kuwait.Abstract |
Objectives |
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.
Methods |
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.
Results |
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.
Conclusions |
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 prefer the latter technique.
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| The material used in this report was presented in a moderated poster session during the Société Internationale d’Urologie Conference, October 2004, Hawaii. |
Vol 67 - N° 3
P. 461-465 - marzo 2006 Ritorno al numero
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