الفهرس 
AnatomyOnly 14 pages are availabe for public view
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Abstract
In a prospective controlled comparative study on primary varicocele,
30 patients were treated by laparoscopic ligation (GA) and a similar
number was treated by Palomo operation (GB). The two groups were
statistically similar regarding the pre-operative variables.
Operative results show that open surgery has significantly shorter
operative time (40.5 minutes) than the laparoscopic time (65.17 minutes).
On the contrary, resumption of the pre-operative life activity was
significantly more rapid after laparoscopy 8.04 days versus 12.88 days
after conventional surgery.
The early post-operative complications were all trivial and without
consequences. The incidence is 26.67% (8/30) in the laparoscopic group
versus 13.33% (4/30) in the open surgery but without statistical
significance.
The return of audible intestinal sounds and the hospital stay are
rather identical in the two treatment groups.
Laparoscopic Varicocelectomy versus Palomo Page 130
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Ligation of the internal spermatic vein through the laparoscope or by
high surgical approach results in progressive significant improvement of
the spermatic count and motility. In the GA the pre-operative count was
21.11xl0
6
and it increased to 23.75xlWafter 1.5 month and to 23.63xl06
after 3 month. The motility increased from 33.5% to 40.21% and 40.59%
respectively. In GB, the mean baseline count was 17.7xl06 and motility
was 36.7%. After 1.5 month, the figures are 21.38xl 06 and 42.75%, and
after 3 months the figures are 23.22xlW and 42.95%.
CONCLUSION
The two techniques, laparoscopic and high open surgery, are
effective and safe in the treatment of varicocele. They are comparable and
equivalent alternatives. Laparoscopic varicocelectomy is advocated if
bilateral ligation is decided. This is a growing advantage since the
increase concept of bilateral internal spermatic vein affection as a cause of
infertility. Laparoscop;c Varicocelectomy versus Palomo.