Two-trocar laparoscopic varicocelectomy: Cost-reduction surgical technique

Adel Al-Hunayan, Hamdy Abdulhalim, Elijah O. Kehinde, Ehab El-Barky, Khaleel Al-Awadi, Awni Al-Ateeqi

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)461-465
Number of pages5
JournalUrology
Volume67
Issue number3
DOIs
Publication statusPublished - Mar 1 2006

ASJC Scopus subject areas

  • Urology

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