ABSTRACT

Minimally invasive surgical technigues have been used in the field of urology for many years and have now been extended fallawing the recent advances in laparoscopic surgery. Between October 1995- May 1996 22 patients underwent laparoscopic vacocelectomy. 6 of variceceles were bilateral with median age of26,5 years (range 15-35). 26% of the cases had grade I and 60% had grade II varicocele while 24% had grade II. Semptomatic pain was the main complain in 11 patients. Median operation time of unilateral and bilaterallaparoscopic surgery were 45 minutes (20-120 minutes) and 60 minutes (45-90 minutes) respectively. No serious complication were seen during or after the surgery. The only complication was the slıght and transient abdominal distantion and vomiting due to incomplete of abdome n before exertion of the trocars that was seen only one patient. The median duration of analgesic need was 14,4 hours (6-24 hours). All patient able to return preoperative activity including stenous work and heavy lifting at the postoperative third day controls. There was sligtly testiculer pain in 2, inguinal pain in 1 and tenderness at the trocar sites in 1 patient at the seventht postoperative day. We believe that, laparoscopic treatment with the advantage of earlier retum to normal and stenous physical activity, is stili a good for especially heavy workers and bilateral cases.