TY - JOUR
T1 - Unilateral Lichtenstein tension-free mesh hernia repair and testicular perfusion
T2 - a prospective control study
AU - Aguilar-García, J.
AU - Cano-González, H. A.
AU - Martínez-Jiménez, M. A.
AU - de la Rosa-Zapata, F.
AU - Sánchez-Aguilar, M.
N1 - Publisher Copyright:
© 2018, Springer-Verlag France SAS, part of Springer Nature.
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Purpose: Compare testicular perfusion between the herniated and the healthy side pre- and post-surgery. Materials and methods: Our study was done on patients with unilateral inguinal hernia. A Doppler ultrasound study was performed in the healthy and herniated side before surgery and 3 months after it. Results: 31 patients were included, 74.2% on the right and 25.8% on the left side. When comparing the pre-surgical values of testicular resistance index from the healthy side with those on the herniated side, there was a significant difference at the spermatic cord levels (0.73 ± 0.11 and 0.81 ± 0.13, p = 0.018) and the extra-testicular level (0.66 ± 0.92 and 0.74 ± 0.10, p = 0.032), but a significant difference was not present at the intra-testicular level (0.62 ± 0.07 and 0.65 ± 0.08). Three months after the surgery, there were no statistically significant differences at any of the levels studied. Conclusion: There are no intra-testicular perfusion differences caused by the presence of hernia, nor during post-surgery.
AB - Purpose: Compare testicular perfusion between the herniated and the healthy side pre- and post-surgery. Materials and methods: Our study was done on patients with unilateral inguinal hernia. A Doppler ultrasound study was performed in the healthy and herniated side before surgery and 3 months after it. Results: 31 patients were included, 74.2% on the right and 25.8% on the left side. When comparing the pre-surgical values of testicular resistance index from the healthy side with those on the herniated side, there was a significant difference at the spermatic cord levels (0.73 ± 0.11 and 0.81 ± 0.13, p = 0.018) and the extra-testicular level (0.66 ± 0.92 and 0.74 ± 0.10, p = 0.032), but a significant difference was not present at the intra-testicular level (0.62 ± 0.07 and 0.65 ± 0.08). Three months after the surgery, there were no statistically significant differences at any of the levels studied. Conclusion: There are no intra-testicular perfusion differences caused by the presence of hernia, nor during post-surgery.
KW - Color Doppler ultrasound
KW - Inguinal hernia
KW - Lichtenstein technique
KW - Polypropylene mesh
KW - Testicular perfusion
UR - http://www.scopus.com/inward/record.url?scp=85040659301&partnerID=8YFLogxK
U2 - 10.1007/s10029-017-1714-8
DO - 10.1007/s10029-017-1714-8
M3 - Artículo
C2 - 29352359
SN - 1265-4906
VL - 22
SP - 479
EP - 482
JO - Hernia
JF - Hernia
IS - 3
ER -