Details
Category: Volume 05 Issue 10 October 2017
Hits: 1317

Title: Study of effect of testicular perfusion and fertility in patient operated for inguinal hernia with mesh

Authors: Dr Iswara Chandra Mudulli, Dr Vikram Kumar Behera , Dr Sworupa Nanda Mallick, Dr V. Rajesh , Dr Subhasis Patra , Dr Pradipta Kumar Sahoo , Dr Dushmanta Sethi

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i10.74

Abstract

Background: Inguinal hernia repair with synthetic mesh is the most common surgical procedure in India as during this procedure synthetic mesh is placed closed contact with spermatic cord. Resulting fibrosis may influence testicular perfusion this change is studied colour doppler study.

Method: prospective randomised study testicular perfusion was investigated before repair and after half yearly thereafter by dolour Doppler ultrasonography. Fourty two patients who underwent elective mesh hernia repair and also underwent preoperative and post-operative colour Doppler ultra-sonography were included in this study.

Results there was no significant difference in testicular blood flow or testicular blood volume were found.

Conclusion this study suggested that inguinal hernia repair with mesh has no significant effect over the testicular blood flow testicular volume or semen quality.  

Keyword inguinal hernia testicular perfusion.

References

  1. Simons MP, Aufenacker T, Bay-Nielsen M et al (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13(4):343–403
  2. Bay-Nielsen M, Kehlet H, Strand L et al (2001) Quality assessment of 26 304 herniorrhaphies in Denmark: a prospective nationwide study. Lancet 358(9288):1124–1128
  3. Osman Nuri Dilek et al. Are There Adverse Effects of Herniorrhaphy Techniques on Testicular Perfusion? Evaluation by Color Doppler Ultrasonography UrolInt 2005;75:167–169
  4. Jurgen Zieren, M.D. et al. Sexual function and testicular perfusion after inguinal hernia repairwith mesh The American Journal of Surgery 181 (2001) 204–206
  5. Amid PK, Shulman AG, Lichtenstein IL. Selecting synthetic mesh forthe repair of groin hernia. Postgrad Gen Surg1992; 4:150–5.
  6. Uzzo RG, Lemack GE, Morissey KP, Goldstein M. The effects of mesh bioprothesis on the spermatic cord structures: a preliminary report in a canine model. J Urol1999;161:1344–9.
  7. Fitzgibbons RJ, Salerno GM, Filipi CJ, et al. A laparoscopic intraperitoneal onlay mesh technique for the repair of an indirect inguinalhernia. Ann Surg1994;219:144–56.
  8. Klinge U, Klosterhalfen B, Mu ¨ller M, et al. Shrinking of polypropylene mesh in vivo: an experimental study in dogs. Eur J Surg1998;164:965–9.

Corresponding Author

Dr Vikram Kumar Behera