Is testicular perfusion influenced during laparoscopic inguinal hernia surgery?

Surgical Endoscopy
S ErsinR Killi

Abstract

The influence of laparoscopic inguinal hernia surgery is still unclear. The aim of this study was to compare the possible early effects of laparoscopic and open inguinal hernia repair on testicular perfusion. In this prospective trial, 44 patients underwent mesh repair of a primary inguinal hernia assigned to one of two procedures: open anterior mesh repair (n = 29) or a laparoscopic totally extraperitoneal approach (n = 15). Doppler ultrasound was used to determine the hemodynamic characteristics of the testicular blood flow. No statistically significant differences were found between the two groups in terms of Doppler flow parameters for the preoperative, very early (day 1), and early postoperative (day 7) periods. When Doppler flow parameters of the testicular artery were compared in the conventional group, statistically significant differences were found between preoperative and very early postoperative values (p < 0.05). Meanwhile, comparison among flow parameters of the testicular, capsular, and intratesticular arteries of the laparoscopic group showed statistically significant differences between preoperative and very early postoperative and between preoperative and early postoperative values (p < 0.05). There were no st...Continue Reading

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Citations

May 11, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·I StulaZ Pogorelić
Jul 1, 2007·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Pepe Pietro, Aragona Francesco
Jun 10, 2010·Surgical Endoscopy·Karsten JungeUwe Klinge
Jun 26, 2014·Surgical Endoscopy·Ivana ŠtulaDamir Kraljević
Sep 22, 2011·World Journal of Surgery·Noam DomnizBoris Kirshtein
Mar 1, 2016·Hernia : the Journal of Hernias and Abdominal Wall Surgery·P LalG Pradhan
Jan 22, 2008·Journal of Pediatric Surgery·Felix SchierTanja Wannik
Aug 31, 2017·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M M RoosJ P J Burgmans

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