Does mesh implantation affect the spermatic cord structures after inguinal hernia surgery? An experimental study in rats

European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes
F H BerndsenA Montgomery

Abstract

Inguinal hernia repair is the most common operation in general surgery. Prosthetic reinforcement of the inguinal area with polypropylene mesh has increased dramatically in the last decade. The aim of this study was to evaluate how different types of mesh affect the spermatic cord structures. Thirty rats were divided into three groups. The spermatic cord was dissected free and a conventional suture repair was performed in group I, an operation mimicking the Lichtenstein operation with a heavyweight polypropylene mesh in group II and the same operation using large pore, lightweighted polypropylene/polyglactin composite mesh in group III. A vasography was performed after 90 days. The cross-sectional area of the vas deferens and s-testosterone from the spermatic vein were measured using the contralateral side as control. Light microscopy of the inguinal canal was performed and inflammation and fibrosis were graded. Vasography revealed patent vas deferens in all animals. In group III, there was a lower s-testosterone in the spermatic vein and a reduced cross-sectional area of the vas deferens on the operated compared to the control side. However, there was no difference in the other groups and there was no significant difference in ...Continue Reading

Citations

Jul 3, 2009·Surgical Endoscopy·Thomas KolbeThomas Rülicke
Jul 3, 2008·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K JungeU Klinge
Jun 10, 2010·Surgical Endoscopy·Karsten JungeUwe Klinge
Mar 10, 2007·BJU International·Luiz Carlos MacielNelson R Netto
Oct 27, 2005·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Christian PeiperVolker Schumpelick
Dec 5, 2016·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A KordzadehN V Jayanthi
Oct 6, 2006·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·T Kolbe, W Lechner
Oct 23, 2010·Systems Biology in Reproductive Medicine·Raul I ClavijoPaul J Turek
Apr 23, 2020·Acta Cirúrgica Brasileira·Sérgio Henrique Bastos DamousEdivaldo Massazo Utiyama
Apr 20, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S H B DamousE M Utiyama

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