Effects of totally extraperitoneal (TEP) and Lichtenstein hernia repair on testicular blood flow and volume

Gürbulak, Esin Kabul; Gürbulak, Bünyamin; Akgün, İsmail; Özel, Alper; Akan, Deniz; Ömeroğlu, Sinan; Öz, Ayhan; Mihmanlı, Mehmet; Bektaş, Hasan

doi:10.1016/j.surg.2015.03.028

Cited by 14 publications

(10 citation statements)

References 36 publications

(31 reference statements)

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“…However, Gurbulak et al found that although all parameters (PSV, EDV, and RI) were affected in the early postoperative period, they all returned to initial levels during the late postoperative period 5. Another study by Palabiyik et al did not find any difference in testicular volume in the preoperative, early, and late postoperative periods in their study of 51 boys but did identify statistically significant differences in the preoperative and early postoperative values of peak systolic flow and RI.…”

Section: Discussionmentioning

confidence: 93%

“…Several studies have been conducted to assess testicular damage following inguinal surgery (Table-IV) to determine the presence and causes of testicular damage and develop appropriate measures to preserve the fertility of the patients involved 5-7. These studies focused upon preoperative and postoperative testicular volume and blood flow and spermiogram of the patients in relation to the techniques used for inguinal surgery 8,9.…”

Section: Discussionmentioning

confidence: 99%

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A comparison of preoperative and postoperative testicular volume and blood flow in patients with inguinal hernia, hydrocele, and cord cyst: A prospective cohort study

et al. 2017

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Objective:To evaluate the effect of inguinal operations performed with a modified Ferguson technique upon testicular volume and blood flow.Methods:This study involved 23 children receiving surgery for inguinal hernia, hydrocele, and cord cyst. This was a prospective study performed between April 2016 and June 2016 in a medical faculty pediatric surgery unit. The color Doppler ultrasound (CDUS) was used to assess testicular volume and blood flow before and after a modified Ferguson technique surgery. The pre- and post operative testicular volume and blood flow were compared with the contralateral testes. SPSS software was used to statistically analyze the data arising; the Mann-Whitney U test and Friedman test were used to compare samples, and P<0.05 was accepted as statistically significant.Results:Preoperative and postoperative testicular volumes were not statistically different when compared to contralateral testes. In patients with right sided inguinal pathology, testicular blood flow on the right side was significantly lower than that on the left side (P=0.023). The testicular blood flow was not statistically different compared with the contralateral testes during the first week evaluation and first month evaluation. The blood flow, probably reduced due to the pressure caused by inguinal pathology, was normalized through surgery.Conclusions:The modified Ferguson technique do not change the testes volume and blood flow.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

A comparison of preoperative and postoperative testicular volume and blood flow in patients with inguinal hernia, hydrocele, and cord cyst: A prospective cohort study

et al. 2017

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“…It has been recommended for elderly patients not to undergo inguinal hernia repair due to their higher susceptibility to the side effects of anesthesia, which prevented them from a good quality of life. In this study, hernia repair is performed according to the Lichtenstein technique 10 with mesh fixation by fibrin glue under ultrasound-guided IN nerve block with ropivacaine. We found that this technique is safe and higher doses of ropivacaine (0.5% and 0.75%) reduced pain and increased patient satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of ropivacaine by the concentration of 0.25%, 0.5%, and 0.75% on surgical performance, postoperative analgesia, and patient’s satisfaction in inguinal hernioplasty: a randomized controlled trial

Su¹,

Zhang²,

Zhang³

et al. 2015

PPA

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BackgroundThe purpose of this study was to evaluate the use of different concentrations of ropivacaine in ultrasound-guided regional anesthesia with regard to postoperative analgesic and patient’s satisfaction in elderly patients undergoing inguinal hernioplasty in the People’s Republic of China.MethodsA total of 60 patients (>75 years of age) who scheduled inguinal hernioplasty at the Shenzhen People’s Hospital from December 2013 to March 2015 were randomly assigned to three groups: 0.25% ropivacaine (n=20), 0.5% ropivacaine (n=20), and 0.75% ropivacaine (n=20). Ultrasound-guided regional anesthesia was performed before every surgery. Non-invasive blood pressure and heart rate were recorded before the operation, during the first 5 minutes of the surgical procedure, and 5 minutes after the operation of the patients, and compared between the groups. Incidence of adverse reactions, postoperative Visual Analog Scale score, and analgesic effect were also recorded and analyzed.ResultsThe surgical procedure and anesthesia was performed successfully in all patients. Patients with high-dose ropivacaine (0.5% and 0.75%) in ultrasound-guided regional anesthesia exhibited lower arterial pressure and lower heart rate during the operation when compared to low-dose group. The interquartile range of Visual Analog Scale scores in both group C (0.75% ropivacaine) and group B (0.5% ropivacaine) were significantly lower (P<0.05) than in group A (0.25% ropivacaine). Accordingly, the interquartile range of satisfactory scores in both group C (0.75% ropivacaine) and group B (0.5% ropivacaine) were significantly higher (P<0.05) than in group A (0.25% ropivacaine). More cases in high-dose groups reported abnormal skin sensation; however, it did not negatively affect the satisfaction level of patients.ConclusionThe use of ultrasound-guided regional anesthesia with ropivacaine as an anesthetic in inguinal hernia repair for elderly patients is safe and effective, and ropivacaine is optimally effective at the concentration of 0.5% with least side effects.

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“…Some studies indicated that all DUS parameters were influenced in the early postoperative period. However, they returned to their prior values in the late postoperative period (6). Alternatively, some reports mentioned that DUS parameters are not altered in the early postoperative period (7,8).…”

Section: Introductionmentioning

confidence: 99%

Assessment of the testicular vascularity after inguinal herniotomy in children: a prospective color Doppler study

et al. 2019

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Background Knowing transient vascular perfusion abnormalities of testes after open inguinal herniotomy procedure is essential for the surgeon who is mainly responsible for the patient outcome. Purpose To assess the effect of open inguinal herniotomy procedure on the testicular blood supply in children using duplex ultrasonography (DUS). Material and Methods A prospective observational study included 60 boys (mean age = 9.46 ± 14.46 months; age range = 2 months–6 years) who underwent open inguinal herniotomy operation. Using DUS, the testicular volume, peak systolic velocity (PSV), end diastolic velocity (EDV), and resistive index (RI) were calculated preoperatively and one week, one month, and six months postoperatively. The pre- and postoperative measurements were compared. Statistical analysis was performed using χ2 test, Fisher’s exact test, or Student’s t-test when appropriate. Results On physical examination, the hernias were unilateral in 57 boys and bilateral in three boys. Comparison between testicular volumes preoperatively and postoperatively showed no significant change ( P > 0.05). There was a statistically significant increase of PSV and RI one week and one month postoperatively ( P < 0.0001) but returned to be near to the preoperative values at six months. As regards EDV, there was a slight but non-significant postoperative increase ( P > 0.05) which did not return to the preoperative value. Conclusion The affection of testicular vascularity postoperatively is transient and returns to be near to the preoperative values in the late postoperative period (six months postoperatively). Additionally, no significant change in testicular volume postoperatively.

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Effects of totally extraperitoneal (TEP) and Lichtenstein hernia repair on testicular blood flow and volume

Cited by 14 publications

References 36 publications

A comparison of preoperative and postoperative testicular volume and blood flow in patients with inguinal hernia, hydrocele, and cord cyst: A prospective cohort study

A comparison of preoperative and postoperative testicular volume and blood flow in patients with inguinal hernia, hydrocele, and cord cyst: A prospective cohort study

Efficacy of ropivacaine by the concentration of 0.25%, 0.5%, and 0.75% on surgical performance, postoperative analgesia, and patient’s satisfaction in inguinal hernioplasty: a randomized controlled trial

Assessment of the testicular vascularity after inguinal herniotomy in children: a prospective color Doppler study

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Effects of totally extraperitoneal (TEP) and Lichtenstein hernia repair on testicular blood flow and volume

Cited by 14 publications

References 36 publications

A comparison of preoperative and postoperative testicular volume and blood flow in patients with inguinal hernia, hydrocele, and cord cyst: A prospective cohort study

A comparison of preoperative and postoperative testicular volume and blood flow in patients with inguinal hernia, hydrocele, and cord cyst: A prospective cohort study

Efficacy of ropivacaine by the concentration of 0.25%, 0.5%, and 0.75% on surgical performance, postoperative analgesia, and patient&rsquo;s satisfaction in inguinal hernioplasty: a randomized controlled trial

Assessment of the testicular vascularity after inguinal herniotomy in children: a prospective color Doppler study

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Efficacy of ropivacaine by the concentration of 0.25%, 0.5%, and 0.75% on surgical performance, postoperative analgesia, and patient’s satisfaction in inguinal hernioplasty: a randomized controlled trial