Laparoscopic inguinal hernia repair does not impair testicular perfusion

Journal of Pediatric Surgery
Felix SchierTanja Wannik

Abstract

Laparoscopic inguinal hernia repair techniques close the internal ring with a suture. Concern has been raised whether or not the testicular vessels are compromised with this technique. This study was undertaken to evaluate pre- and postoperative testicular perfusion and to compare it with healthy controls. Sixty-five boys (aged 6 weeks to 11 years; median, 1.4 years) with unilateral (n = 52) or bilateral (n = 13) inguinal hernias were treated laparoscopically. Testicular perfusion was measured using a recently developed neuromonitoring device (O2C; LEA Medizintechnik GmbH, Giessen, Germany), which combines light spectroscopy and laser Doppler technique. An optical probe was placed on the surface of each scrotal pouch for measurements at 2 depths (2 and 8 mm). Measurements involved oxygen (O(2)) saturation at the venous end of capillaries, the amount of hemoglobin within microvessels, the blood flow within microcirculation, and the velocity of the blood in microcirculation. Measurements were conducted before and after anesthesia, before and after surgery, and 6 weeks later. Twenty-one healthy boys of similar ages served as controls. Measurements at 2-mm depth were unreliable. At 8-mm depth, the oxygen saturation of hemoglobin wa...Continue Reading

References

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May 9, 2006·Journal of Pediatric Surgery·Sigmund H EinArlene Ein
Jun 14, 2006·Journal of Pediatric Surgery·Felix Schier
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Citations

Dec 6, 2008·Pediatric Surgery International·Walid Treef, Felix Schier
Apr 3, 2012·Pediatric Surgery International·Abdullah YildizAli Ihsan Dokucu
Aug 10, 2012·Pediatric Surgery International·C EspositoF Schier
Jun 10, 2010·Surgical Endoscopy·Salmai TurialFelix Schier
Jun 6, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mario RiquelmeMario Riquelme-Q
Apr 7, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ciro EspositoAlessandro Settimi
Feb 24, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Yury KozlovAlexey Solovjev
Dec 25, 2009·British Journal of Anaesthesia·P SchrammC Werner
Jun 7, 2013·Journal of Minimal Access Surgery·Rasik ShahNitin Dhende
Jul 15, 2009·World Journal of Surgery·Ciro EspositoAlessandro Settimi
Sep 21, 2011·Journal of Pediatric Surgery·Sandesh V ParelkarJiwanlal Patel
Apr 14, 2009·Journal of Pediatric Surgery·Figen Bakirtas PalabiyikNurseli Toksoy
Aug 12, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Halil Ibrahim TanriverdiFatma Aktaş
Mar 31, 2015·Journal of Pediatric Urology·Jan de LaffolieSalmai Turial
Mar 13, 2018·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Zenon Pogorelic
Feb 3, 2018·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Akgun OralAhmet Bedii Salman
May 17, 2019·Acta Radiologica·Mohammad Abd Alkhalik BashaAhmed Salah Arafa
Jul 25, 2012·Annals of Surgery·Lisette T HoekstraThomas M van Gulik
Jul 1, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Akram Mohamed ElbatarnyAmel A Hashish

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