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179281

Laparoscopic staple interruption versus laparoscopic varicocelectomy for the treatment of varicocele value and effect: A comparative study

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Last updated: 28 Dec 2024

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Abstract

Background: Varicocele is an abnormal  dilation of the pampiniform plexus that constitutes the primary drainage of the testis. It is found approximately in 15% of male adolescents with a left sided predominance. Laparoscopic varicocelectomy has been proposed as an alternative surgical procedure for the repair of varicocele with reported benefits of better convalescence, minimal invasiveness and less analgesic requirement postoperatively Patients and methods: The study was done in ElFayoum UniversityHospitalfromNovember 2011 till November 2012 and it included twenty cases with varicocele. The patients were divided into two groups: The first group (10 patients) was subjected to laparoscopic staple interruption for treatment of varicocele  with cutting  the gonadal  vein or veins in between the clips, the second group (10 patients) was subjected to laparoscopic staple interruption  for treatment of varicocele without cutting inbetween the clips. Results: All the procedures in the two groups were completed satisfactorily, with no intraoperative complications. No significant difference was found in the operative time between the two groups (25.5±3.12minutes  and 26.2±4.23 minutes for group I and II respectively) (p=0.889). Most  patients in the two groups had moderate pain, with no significant difference between  the two groups  (p=0.801).  The hospital  stay was not significantly  different  among the patients of the two study groups (1.7±0.82  days in group  I and 1.5±0.68  days in group II) (p=0.870).  There were no post operative complications,  only one patient in the 2nd group experienced recurrence symptoms of varicocele. Conclusion:  In conclusion,  laparoscopic  staple  interruption  for treatment  of  varicocele without  cutting  inbetween   the  clips  is  more  superior  to  traditional  laparoscopic   staple interruption with cutting the gonadal vein or veins inbetween the clips for treatment of varicocele regarding the lower risk to cut the vas deference or spermatic artery. The spermatic count was the same as well as the spermatic motility and abnormal forms.

DOI

10.21608/asjs.2013.179281

Keywords

Varicocele, laparoscopic varicocelectomy, Semen Analysis, Palomo's operation

Authors

First Name

Mohamed A

Last Name

Sharaan

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Affiliation

Department of General Surgery, Alexandria University, Alexandria ,Egypt.

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First Name

Khaled

Last Name

Katri

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Affiliation

Department of General Surgery, Alexandria University, Alexandria ,Egypt.

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First Name

Mohamed

Last Name

Hany

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Affiliation

Department of General Surgery, Alexandria University, Alexandria ,Egypt.

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First Name

Waleed

Last Name

Abdel-Haleem

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Affiliation

Department of General Surgery, Alexandria University, Alexandria ,Egypt.

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First Name

Tamer

Last Name

AbdelBaki

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Affiliation

Department of General Surgery, Alexandria University, Alexandria ,Egypt.

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Volume

6

Article Issue

1

Related Issue

25656

Issue Date

2013-01-01

Receive Date

2021-06-22

Publish Date

2013-01-01

Page Start

125

Page End

136

Print ISSN

2090-7249

Online ISSN

3009-7509

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https://asjs.journals.ekb.eg/article_179281.html

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https://asjs.journals.ekb.eg/service?article_code=179281

Order

16

Type

Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

MainTitle

Laparoscopic staple interruption versus laparoscopic varicocelectomy for the treatment of varicocele value and effect: A comparative study

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Article

Created At

23 Jan 2023