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.
