Background: Varicocele is considered a major cause of male infertility. The target of varicocele surgery is to remove the progressive harmful effect of the varicocele on the testes. The aim of this study was to evaluate post-operative complications of laparoscopic versus open varicocelectomy.Methods: This prospective study involved 60 patients who presented to Al-Basra general hospital, or Al-Sader teaching hospital complaining of pain, infertility, or both and diagnosed to have testicular varicocele. Patients were split into 2 groups relative to the type of operation. Group 1 comprised 25 patients who had undergone laparoscopic varicelectomy, and group 2 comprised 35 patients who had undergone open subinguinal varicelectomy.Results: The mean age of the patients was 25.3±2.1 years in group 1 and 24.4±3.4 years in group 2. Wound infection, hematoma formation, and scrotal edema occurred in the study groups but were higher for open technique.Conclusions: Author concluded in this study that it seems to be laparoscopic varicocelectomy technique has less early post-operative complication in term of wound infection, hematoma and edema.

Background: Pilonidal sinus is a disease that most commonly arises in the hair follicles of the natal cleft of the sacrococcygeal area. Different modalities of surgery have been employed. The aim of this study is to evaluate the outcome of open versus closed pilonidal sinus excision among a sample of patient in Basrah of Iraq.Methods: This is a prospective study conducted in two hospitals. The patients were randomly allocated into 2 groups. Group “A” consisted of 63 patients who underwent open pilonidal sinus excision and the other group (group “B”) included 68 patients who underwent closed pilonidal sinus excision. Technically, both approaches were performed according to the "standard procedure". All patients, in both groups, were seen on the 3rd, 7th and 10th days following surgery. Afterwards, they were followed up at weekly intervals until complete healing took place and three-monthly after that, for 2 years, to check for recurrence.Results: One hundred and thirty-one patients include in this study, 63 patients comprised group “A” open pilonidal sinus excision (54 males and 9 females) compared to 68 patients in group “B” closed pilonidal sinus excision (56 males and 12 females). The rate of wound infection approximately was similar (3.17% in group “A” and 2.94% in group “B”) two patients in both groups.Conclusions: This study shows significant difference in patient duration needed to retain normal life activity between open and closed method. Closed method achieved shorter duration of recovery.