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Laparoscopic versus inguinal (ivanissevich) varicocelectomy.

Author(s)
Ahmed Khan Sangrasi Department of Surgery, Liaquat University of Medical & Health Sciences (LUMHS), Jamshoro, Sindh, Pakistan
Abdul Aziz Leghari Department of Surgery, Liaquat University of Medical & Health Sciences (LUMHS), Jamshoro, Sindh, Pakistan
Aisha Memon Department of Surgery, Liaquat University of Medical & Health Sciences (LUMHS), Jamshoro, Sindh, Pakistan
K. Altaf Talpur Department of Surgery, Liaquat University of Medical & Health Sciences (LUMHS), Jamshoro, Sindh, Pakistan
Aamir Iqbal Memon Department of Surgery, Liaquat University of Medical & Health Sciences (LUMHS), Jamshoro, Sindh, Pakistan
Jan Mohammad Memon Department of Surgery, Liaquat University of Medical & Health Sciences (LUMHS), Jamshoro, Sindh, Pakistan
Abstract
Objective: To compare the postsurgical outcome of laparoscopic and open inguinal varicocelectomy. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Surgery, Liaquat University of Medical and Health Sciences, Jamshoro, from July 2003 to June 2007. Methodology: One hundred seven patients underwent either open inguinal or laparoscopic varicocelectomy. Diagnosis was made by clinical examination and color Doppler scan in doubtful cases. Pre-operative semen analysis was done in all patients. Operative time, postoperative analgesic requirement in number of tablets, hospital stay in days, improvement in semen parameters in subfertile subjects, pain on visual analog score. and postoperative complications were recorded and compared between the two groups. Results: There were 50 patients in each group, with age ranging from 12-50 years (26.9±7.67 in open inguinal and 26.2±7.08 in laparoscopic group). Average operative time was 34.8±7.89 minutes for open inguinal and 43.8±8.95 minutes for laparoscopic group. The analgesic requirement was 16.3±1.58 tablets in the open inguinal and 11.3±2.23 in the laparoscopic group. Postoperative pain was significantly less in the laparoscopic group. There was statistically significant (p
Publication Details
Page(s) 106-111
DOI DOI not available
Published Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 20, Issue: 2, Year: 2010

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