Comparison of Outcome in Open and Laparoscopic Varicocelectomy in Terms of Operative Time and Wound Infection

Authors

  • Muhammad Tahir Department of Urology, Armed Forces Institute of Urology, Rawalpindi, Pakistan
  • Mujahid Ali Department of Urology, Armed Forces Institute of Urology, Rawalpindi, Pakistan
  • Sohail Raziq Department of Urology, Armed Forces Institute of Urology, Rawalpindi, Pakistan
  • Waqas Ahmed Department of Urology, Armed Forces Institute of Urology, Rawalpindi, Pakistan
  • Aman Ullah Department of Urology, Armed Forces Institute of Urology, Rawalpindi, Pakistan
  • Ajmal Khan Jogezai Department of Urology, Armed Forces Institute of Urology, Rawalpindi, Pakistan

DOI:

https://doi.org/10.70749/ijbr.v3i6.1748

Keywords:

Varicocele, Laparoscopic Surgery, Open Varicocelectomy, Operative Time, Wound Infection

Abstract

Introduction: Male infertility is commonly caused by varicocele, which is frequently treated by an operation like open or laparoscopic varicocelectomy. The significant factors that affect the recovery and success of the surgery include operative time and the occurrence of wound infections during the postoperative period. Objective: To compare the results of open and laparoscopic varicocelectomy as regards operative time and wound infection. Material and Method: This is a cross-sectional, comparative study conducted at Department of Urology, Armed Forces Institute of Urology from January 03, 2025 and May 15, 2025. Two groups were used: Group A (open varicocelectomy) and Group B (laparoscopic varicocelectomy), each comprising 100 patients. The operating time and wound infection data were captured and assessed with SPSS v25. Results: The operating time was less in the open surgery, and the median time of operating was 38.4 in the open group as opposed to 50.6 in the laparoscopic group. However, there were significantly greater incidences of wound infection among the open group, 18 percent, against the laparoscopic group, where four percent was reported. Conclusion: Laparoscopic varicocelectomy, although it takes more time, leads to a low incidence of post-surgery wound infections with improved post-surgery results.

Downloads

Download data is not yet available.

References

1. Shi Z. Retracted: Laparoscopic vs. open surgery: A comparative analysis of wound infection rates and recovery outcomes. International wound journal. 2024 Mar;21(3):e14474.

https://doi.org/10.1111/iwj.14474

2. Farooq A, Nasir M, Sajid M, Hassan MU, Noor A. Comparison of Laparoscopic vs Open Varicocelectomy for Varicocele of Testicular Veins. Annals of Punjab Medical College. 2021 Dec 31;15(4):212-5.

https://doi.org/10.29054/apmc/2021.1099

3. Mohammed TZ, Gamil AW. Comparison of Outcomes of different Varicocelectomy Techniques: Open Inguinal, Laparoscopic and Subinguinal Microscopic Varicocelectomy. Al-Azhar International Medical Journal. 2024;5(7):2.

https://doi.org/10.58675/2682-339x.2520

4. Mohammed MM, Kabbash MM, Abd Allah HA, Saleem AE. Laparoscopic versus subinguinal varicocelectomy: comparative study. The Egyptian Journal of Hospital Medicine. 2021 Apr 1;83(1):1597-601.

https://doi.org/10.21608/ejhm.2021.171411

5. Warli SM, Nabil RA, Kadar DD, Prapiska FF, Siregar GP. A comparison between the efficacy and complication of laparoscopic and microsurgical varicocelectomy: Systematic review and meta-analysis. Urology Annals. 2024 Apr 1;16(2):113-9.

https://doi.org/10.4103/ua.ua_3_23

6. Awad-Allah AH, Balbola MM, Shahin MM, Elghannam M, Shakweer MM. Comparative Study between Open and Laparoscopic Varicocelectomy in Bilateral Varicocele. International Journal of Medical Arts. 2024 May 1;6(5):4452-9.

https://doi.org/10.21608/ijma.2023.180812.1571

7. Cao X, Tian C, Feng W, Zhu SX, Chen K, Zheng YH, Yao JZ. Preserving one artery shortens the surgical time and does not affect the efficacy of microsurgical subinguinal varicocelectomy: preliminary findings from a retrospective study. BMC urology. 2024 Dec 21;24(1):277.

https://doi.org/10.1186/s12894-024-01670-x

8. Shah B, Bajaj J, Vijendra AR. Beyond the Incision: A Comparative Study of Suprainguinal and Inguinal Varicocele Surgeries. Cureus. 2024 Aug 17;16(8).

https://doi.org/10.7759/cureus.67073

9. Rehman AU, Alam M, Siddique Ahmed MI, Ali S. Long-term outcome of laparoscopic & open Palomovaricocelectomy in terms of complications and recurrence rates. KJMS. 2021 Apr;14(2):125.

https://doi.org/10.70520/kjms.v14i2.257

10. El-Rahman A, Abd El-Hamid M, Hamed MH, Mohamed MA. Comparative Study between Laparoscopic Varicocelectomy and Foam Injection Sclerotherapy by Using Interventional Catheterization in the Treatment of Primary Varicocele. Al-Azhar International Medical Journal. 2024;5(3):14.

https://doi.org/10.58675/2682-339x.2316

11. Tandon S, Bennett D, Mark Nataraja R, Pacilli M. Outcome following the surgical management of varicocele in children and adolescents: a systematic review and meta-analysis. Therapeutic Advances in Urology. 2023 Oct; 15:17562872231206239.

https://doi.org/10.1177/17562872231206239

12. Salroo AS, Dar HM, Mir GA, Awan NA, Ahmad MM. A prospective observational study of laparoscopic varicocelectomy and open inguinal varicocelectomy in tertiary care hospital in Kashmir.

13. Liu H, Chen R, Wu X, Zhang M, Li Z, Hua L, Zhan J, Dong B, Wang Z, Sun Z, Li X. Microsurgical Varicocelectomy: Experience of Our Sub‐Subinguinal Approach and Review of the Literature. Andrologia. 2023;2023(1):9937114.

https://doi.org/10.1155/2023/9937114

14. Porto JG, Raymo A, Arbelaez MC, Gurayah AA, Ramasamy R, Gurayah A. Patient satisfaction and long-term clinical outcomes in adolescent sub-inguinal microscopic varicocelectomy. Cureus. 2023 Aug 29;15(8).

https://doi.org/10.7759/cureus.44349

15. Wang X, Wang R, Du Q, Pan B. Clinical effectiveness of microsurgical subinguinal varicocelectomy with enhanced recovery after surgery for varicocele. Translational Andrology and Urology. 2021 Oct;10(10):3862.

https://doi.org/10.21037/tau-21-908

16. Özervarlı MF, Sevinç AH, Şenel S, Karaca Y, Ateş Y, Tantekin SA, Ergül RB, Aydın R, Pazır Y, Dursun M, Kadıoğlu A. Assessing the outcomes of subinguinal microsurgical varicocelectomy: pulling technique compared to the conventional method. International Urology and Nephrology. 2025 May;57(5):1395-402.

https://doi.org/10.1007/s11255-024-04326-9

17. Aksoy C, Reimold P, Karschuck P, Mandal S, Eisenmenger N, Groeben C, Zacharis A, Huber J, Flegar L. Trends for Surgical Treatment of Testicular Varicocele: A German Whole-population Analysis of Inpatient Procedures from 2006 to 2021. European Urology Open Science. 2025 May 1;75:29-36.

https://doi.org/10.1016/j.euros.2025.03.001

18. Koirala A, Shah S, Adhikari D, Bhattarai A, Yadav AK. A Comparative Study of Laparoscopic Inguinal Hernioplasty with Open Inguinal Hernioplasty. Journal of KIST Medical College. 2023 Jul 31;5(10):6-9.

https://doi.org/10.61122/jkistmc265

19. Pogorelić Z, Gaberc T, Jukić M, Tintor G, Nevešćanin Biliškov A, Mrklić I, Jerončić A. The effect of subcutaneous and intraperitoneal instillation of local anesthetics on postoperative pain after laparoscopic varicocelectomy: A randomized controlled trial. Children. 2021 Nov 13;8(11):1051.

https://doi.org/10.3390/children8111051

20. Shah RU, Shah S, Sharif G, Badar A, Muhammad H, Ahmad S. Inguinal Hernia: Compare the Laparoscopic Trans-Abdominal Pre-Peritoneal Hernioplasty with the Gold Standard Open Tension-Free Lichtenstein’s Hernioplasty. In Medical Forum Monthly 2021 (Vol. 32, No. 8).

Downloads

Published

2025-06-30

How to Cite

Tahir, M., Ali, M., Raziq, S., Ahmed, W., Aman Ullah, & Khan Jogezai, A. (2025). Comparison of Outcome in Open and Laparoscopic Varicocelectomy in Terms of Operative Time and Wound Infection. Indus Journal of Bioscience Research, 3(6), 850-854. https://doi.org/10.70749/ijbr.v3i6.1748