Does the Percutaneous Internal Ring Suturing Technique Impair Testicular Vascularization in Children Undergoing Inguinal Hernia Repair?

Tanrıverdi, Halil İbrahim; Şenel, Ufuk; Özmen, Zafer; Aktaş, Fatma

doi:10.1089/lap.2015.0234

Cited by 12 publications

(11 citation statements)

References 15 publications

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“…Medicine ® OPEN (EDV), and vascular resistance index (RI) in gonadal vessels upon Doppler ultrasound examination (US). [18][19][20][21][22][23][24][25][26][27][28][29][30] On the other hand, only a few publications describe changes in echostructure, vascular flow, or gonadal volume in boys with TT. [2,4,5,10,16,31] Therefore, we have undertaken research to explain the following issues.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound evaluation of long-term outcome in boys operated on due to testicular torsion

Osemlak¹,

Jędrzejewski

Woźniak

et al. 2021

Medicine

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We aimed at verifying the usefulness of spectral Doppler ultrasonography in determining development of the testis after torsion in boys.The study involved 28 patients and 30 control cases divided into 3 developmental groups: pre-pubertal, early pubertal, and pubertal. It presented surgical management in testicular torsion (TT), volume, and echogenicity of testes, as well as peak-systolic velocity (PSV), end-diastolic velocity (EDV), and vascular resistance index (RI) in the capsular and intra-testicular arteries, regarding developmental groups, detorsed testes, uninvolved ones, and testes in the control group.Orchiectomy was performed in 13 boys with complete TT, in 11 lasting for over 24 hours, and in 2 lasting for 9 and 10 hours, respectively. Orchiectomy mainly involved patients aged up to 6 years, who at the time of the follow-up ultrasound belonged to the pre-pubertal group.There is no clear correlation between the type of testicular torsion, its duration, and the echogenicity of the testis. Testicular torsion has a negative effect on the volume of detorsed testis with compensatory hypertrophy of the uninvolved testis. The study represents a new approach to the issue of long-term gonadal blood supply abnormalities after treatment of testicular torsion in childhood.

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Section: Introductionmentioning

confidence: 99%

Ultrasound evaluation of long-term outcome in boys operated on due to testicular torsion

Osemlak¹,

Jędrzejewski

Woźniak

et al. 2021

Medicine

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“…They also found no statistically significant differences between two groups and concluded that PIRS is a safe technique for inguinal hernia repair with respect to testicular vascularization. 7 Many studies confirmed that testicular blood supply was not affected in different open or laparoscopic approaches of inguinal hernia repair. [8][9][10] This study confirmed that PIRS technique has all advantages of minimally invasive surgery.…”

Section: Pediatric Surgery University Hospital Of Split Spinciceva mentioning

confidence: 98%

Effects of Laparoscopic Hernia Repair by PIRS (Percutaneous Internal Ring Suturing) Technique on Testicular Artery Blood Supply

Pogorelić

2018

Journal of Investigative Surgery

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“…A study in 2015 tried to compare the Doppler signal of testicular vessels before and after laparoscopic percutaneous ligation of deep ring. 36 There was no difference in terms of the peak systolic velocity, end diastolic velocity, and resistivity index of the testicular vessels before and after the operation. They concluded that the testicular vascularization is not impaired after laparoscopic repair.…”

Section: Complicationsmentioning

confidence: 81%

Laparoscopic Inguinal Hernia Repair in Infants and Children: State-of-the-Art Technique

Chan

Tam

2017

Eur J Pediatr Surg

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Pediatric inguinal hernia is one of the most common surgical conditions with open herniotomy being the gold standard of treatment. With the advances of laparoscopic surgery, it has emerged as an alternative to open repair with reported good results. However, laparoscopic hernia repair is not yet a routine procedure in many centers, and debate of laparoscopic versus open repair still exists. After 20 years of development of laparoscopic hernia repair, different techniques have been described with no consensus on the standard technique right now. This article reviews the latest updates of laparoscopic repair from the current evidence in the literature. Laparoscopic management of hernia in premature/small infants and hernia incarceration are also discussed here.

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Does the Percutaneous Internal Ring Suturing Technique Impair Testicular Vascularization in Children Undergoing Inguinal Hernia Repair?

Abstract: Testicular vascularization was not affected by hernia repair using the PIRS technique in our study. We therefore conclude that PIRS is a safe technique for inguinal hernia repair with respect to testicular vascularization.

Cited by 12 publications

References 15 publications

Ultrasound evaluation of long-term outcome in boys operated on due to testicular torsion

Ultrasound evaluation of long-term outcome in boys operated on due to testicular torsion

Effects of Laparoscopic Hernia Repair by PIRS (Percutaneous Internal Ring Suturing) Technique on Testicular Artery Blood Supply

Laparoscopic Inguinal Hernia Repair in Infants and Children: State-of-the-Art Technique

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