Is testicular perfusion influenced during laparoscopic inguınal hernia surgery?

Ersin, Sinan; Ünal, Aydın; Makay, Özer; İçöz, Gökhan; Tamsel, Sadık; Sözbılen, Murat; Killi, Refik

doi:10.1007/s00464-005-0210-x

Cited by 30 publications

(23 citation statements)

References 15 publications

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“…In contrast, we could not find significant differences in the testicular volume regardless of the technique and mesh used. Ersin et al [20] investigated postoperative changes of blood flow following Lichtenstein and TEP and found significantly altered flow parameters for each group compared with preoperative, very early postoperative, and early postoperative values.…”

Section: Discussionmentioning

confidence: 97%

Damage to the spermatic cord by the Lichtenstein and TAPP procedures in a pig model

et al. 2010

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Section: Discussionmentioning

confidence: 97%

Damage to the spermatic cord by the Lichtenstein and TAPP procedures in a pig model

et al. 2010

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“…Pantaloon and indirect on one side each 1 structures such as vas [5], testicular vessels [18], and nerves [19] in this cicatrix has been debated earlier.…”

Section: Discussionmentioning

confidence: 99%

“…As discussed, pain is also a marker of entrapment of structure in the MAST complex. Apart from purely sensory structures, entrapment of vas [4] and testicular vessels [18] is a possibility. Entrapment of vas leading to obstructive azoospermia, ejaculatory pain, and deterioration of sexual life has been reported earlier [4,5].…”

Section: Discussionmentioning

confidence: 99%

Prospective double-blind randomized controlled study comparing heavy- and lightweight polypropylene mesh in totally extraperitoneal repair of inguinal hernia: early results

Agarwal

Mahajan

2008

Surg Endosc

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“…It would have been very useful to observe for how long these flow alterations remained, considering that the subsequent examination was only done in the sixth month after the operation. Ersin et al 28 performed early examinations and observed alterations in the systolic and diastolic velocities only in the group that underwent the operation using the laparoscopic extraperitoneal (TEP) technique. The various studies discussed here lead to a common point: preservation of testicular function and fertility in men with inguinal hernias.…”

Section: Analysis Of the Testicular Flowmentioning

confidence: 99%

Prospective study on the effects of a polypropylene prosthesis on testicular volume and arterial flow in patients undergoing surgical correction for inguinal hernia

2007

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Purpose:To evaluate testicular volume and arterial flow in patients undergoing surgical correction for inguinal hernia, with polypropylene prosthesis. Methods: This was an observational prospective clinical study on 39 male patients with unilateral inguinal hernia of types III A and III B according to the Nyhus classification who underwent surgical correction with implantation of a polypropylene prosthesis by means of the Lichtenstein technique. The patients were evaluated using Doppler ultrasound before the operation and selectively at the third and sixth months after the operation. The variables studied were testicular volume, systolic and diastolic velocity, resistance index and pulsatility index. Results: No statistically significant alterations in the variables studied were observed over the course of time: testicular volume (p= 0.197); systolic velocity (p= 0.257); diastolic velocity (p= 0.554); resistance index (p= 0.998); and pulsatility index (p= 0.582). Conclusion: No alteration in testicular volume and arterial flow over a six-month period was observed among patients who underwent surgical correction for inguinal hernia using a polypropylene prothesis. Key words: Testis. Surgical Mesh. Hernia, Inguinal. RESUMO Objetivo:Avaliar o volume testicular e o fluxo na artéria testicular em pacientes operados de inguinal com prótese de polipropileno. Métodos: Estudo clínico prospectivo observacional em 39 pacientes do sexo masculino portadores de hérnia inguinal tipo III A e III B na classificação de Nyhus os quais foram submetidos a hernioplastia inguinal com implantação de prótese de polipropileno com a técnica de Lichtenstein. Os pacientes foram avaliados com ultra-sonografia Doppler no pré-operatório; no 3º mês e no 6º mês de pós-operatório. As variáveis estudadas foram: volume testicular; velocidade sistólica e diastólica, o índice de resistividade e o índice de pulsatilidade. Resultados: Não se observou alterações estatisticamente significantes nas variáveis ao longo do tempo: volume testicular (p=0,197); velocidade sistólica (p=0,257); velocidade diastólica (p=0,554); índice de resistividade (p=0,998); índice de pulsatilidade (p=0,582). Conclusão: Não se observou alteração no volume testicular e no fluxo sanguíneo da artéria testicular após seis meses nos pacientes submetidos à correção cirúrgica de hérnia inguinal com prótese de polipropileno.. Descritores: Testículo. Telas Cirúrgicas. Hérnia Inguinal. -ORIGINAL ARTICLE

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Is testicular perfusion influenced during laparoscopic inguınal hernia surgery?

Abstract: Testicular blood flow is influenced during laparoscopic inguinal hernia surgery. Whether changes in flow parameters remain in the late postoperative period, and whether they have an impact on complications will be evaluated in further studies.

Cited by 30 publications

References 15 publications

Damage to the spermatic cord by the Lichtenstein and TAPP procedures in a pig model

Damage to the spermatic cord by the Lichtenstein and TAPP procedures in a pig model

Prospective double-blind randomized controlled study comparing heavy- and lightweight polypropylene mesh in totally extraperitoneal repair of inguinal hernia: early results

Prospective study on the effects of a polypropylene prosthesis on testicular volume and arterial flow in patients undergoing surgical correction for inguinal hernia

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