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

Neto, Edgar Valente de Lima; Goldenberg, Alberto; Júca, Mário Jorge

doi:10.1590/s0102-86502007000400007

Cited by 18 publications

(3 citation statements)

References 24 publications

(41 reference statements)

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“…Neto et al ., Ramadan et al ., and Lal et al . did not find any statistically noteworthy elevation in RIs, which is in conjugation with our study[ 18 19 20 ] where no significant difference between the RI of any artery in their preoperative and early postoperative period was noted. Roos et al .…”

Section: Discussionsupporting

confidence: 89%

Does laparoscopic hernia repair affect the vascularity of testis?

Lodha

Badkur

Garg

et al. 2020

J Family Med Prim Care

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Context: Laparoscopic hernia repair, despite its safety and effectivity is related to some drawbacks. Testicular complications are uncommon but serious among them. Testicular atrophy occurs in 0% to 2% of patients after hernioplasty. Aim: In this study, we tried to evaluate the effects of laparoscopic total extraperitoneal (TEP) repair on testicular blood flow in Indian population by comparing the testicular perfusion in preoperative and postoperative status. Settings and Design: A prospective study. Subjects and Methods: A prospective study was conducted among adult male patients having an uncomplicated inguinal hernia. Preoperative and postoperative CDUS evaluation of testicular blood flow was done for each patient. Statistical Analysis Used: Data were analyzed using the SPSS (SPSS, Chicago, IL, USA) software program. Results: The resistive indexes of testicular, capsular, and intratesticular arteries of the operated and nonoperated side were similar preoperatively and did not differ ominously postoperatively. Conclusion: Laparoscopic hernia surgery does not have any significant effect on testicular blood supply and can be advocated safely without any added risk of testicular atrophy.

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Section: Discussionsupporting

confidence: 89%

Does laparoscopic hernia repair affect the vascularity of testis?

Lodha

Badkur

Garg

et al. 2020

J Family Med Prim Care

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“…As a result; there are many clinical and experimental study results in which has advers effect or not on testicular perfusion (Lima Neto et al 2007; Koksal et al 2010). We thougt that it is difficult to impair the testicular perfusion after hernia repair, because of it has rich arterial supplay and collateral capacity.…”

Section: Discussionmentioning

confidence: 99%

Hernioplasty and testicular perfusion

Dılek

2014

SpringerPlus

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Open and laparoscopic tension-free techniques of hernia repair using synthetic meshes are a well-accepted practice with an excellent patient comfort and a low recurrence rate. It is well known that, direct contact of the mesh to the vessels in the inguinal canal and perimesh fibrosis may have a negative impact on testicular flow. Whether different operative techniques or mesh materials used have an effect on the integrity of the testicle, the influence of the resulting fibrosis on testicular perfusion, and spermatic cord structures is still unclear.Our objective is to review whether there is an association between inguinal hernia and hernia repair techniques, pitfalls of various manipulations and also specific applications on spermatic cord structures and testicular perfusion in view of the literature.Most of the clinical and experimental studies result support the idea that inguinal mesh application for hernioplasty is still a safe procedure in patients. Testicular blood flow may be influenced during open and laparoscopic inguinal hernia surgery. But, so far, there is no evidence for a significant impairment of cord structures after open or laparoscopic hernia repair using tension free techniques. It is clear that fine surgical dissection and reconstruction, doing respect for anatomy and using proper prosthetic material could be obtain the best results. Whether changes in flow parameters remain in the late postoperative period, and whether they have an impact on complications should be evaluated in further clinical and experimental studies.

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“…However, we found (i) no decrease in sperm motility in patients operated on with a heavyweight mesh, (ii) no differences between the 3 groups regarding sperm concentration, (iii) no signs of epididymis or vas deferens distension, and (iv) no changes in testicular flow and volume 1 year postoperatively in either group, confirming the results obtained by others. [22][23][24] An alternative explanation could Percentage of patients with a decreased sperm motility (more than 10% progression) 1 year after surgery in comparison with the preoperative status. *Significant difference between VyproII ® and Marlex ® population (P ϭ 0.026) and between TiMesh ® and Marlex ® population (P ϭ 0.014) cfr final submitted paper.…”

Section: Discussionmentioning

confidence: 99%