Does laparoscopic hernia repair affect the vascularity of testis?

Context: Laparoscopic hernia repair, despite its safety and effectivity is related to some drawbacks. Testicular complications are uncommon but serious among them. Testicular atrophy occurs in 0% to 2% of patients after hernioplasty. Aim: In this study, we tried to evaluate the effects of laparoscop...

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Main Authors: Mahendra Lodha, Mayank Badkur, Pavan Garg, Ashok Puranik, Ramkaran Chaudhary, Mahaveer S Rodha, Satya Prakash
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=5;spage=2465;epage=2468;aulast=Lodha
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author Mahendra Lodha
Mayank Badkur
Pavan Garg
Ashok Puranik
Ramkaran Chaudhary
Mahaveer S Rodha
Satya Prakash
author_facet Mahendra Lodha
Mayank Badkur
Pavan Garg
Ashok Puranik
Ramkaran Chaudhary
Mahaveer S Rodha
Satya Prakash
author_sort Mahendra Lodha
collection DOAJ
description Context: Laparoscopic hernia repair, despite its safety and effectivity is related to some drawbacks. Testicular complications are uncommon but serious among them. Testicular atrophy occurs in 0% to 2% of patients after hernioplasty. Aim: In this study, we tried to evaluate the effects of laparoscopic total extraperitoneal (TEP) repair on testicular blood flow in Indian population by comparing the testicular perfusion in preoperative and postoperative status. Settings and Design: A prospective study. Subjects and Methods: A prospective study was conducted among adult male patients having an uncomplicated inguinal hernia. Preoperative and postoperative CDUS evaluation of testicular blood flow was done for each patient. Statistical Analysis Used: Data were analyzed using the SPSS (SPSS, Chicago, IL, USA) software program. Results: The resistive indexes of testicular, capsular, and intratesticular arteries of the operated and nonoperated side were similar preoperatively and did not differ ominously postoperatively. Conclusion: Laparoscopic hernia surgery does not have any significant effect on testicular blood supply and can be advocated safely without any added risk of testicular atrophy.
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spelling doaj.art-6343ba382efe49c6a0b901e3173941362022-12-22T01:31:21ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632020-01-01952465246810.4103/jfmpc.jfmpc_203_20Does laparoscopic hernia repair affect the vascularity of testis?Mahendra LodhaMayank BadkurPavan GargAshok PuranikRamkaran ChaudharyMahaveer S RodhaSatya PrakashContext: Laparoscopic hernia repair, despite its safety and effectivity is related to some drawbacks. Testicular complications are uncommon but serious among them. Testicular atrophy occurs in 0% to 2% of patients after hernioplasty. Aim: In this study, we tried to evaluate the effects of laparoscopic total extraperitoneal (TEP) repair on testicular blood flow in Indian population by comparing the testicular perfusion in preoperative and postoperative status. Settings and Design: A prospective study. Subjects and Methods: A prospective study was conducted among adult male patients having an uncomplicated inguinal hernia. Preoperative and postoperative CDUS evaluation of testicular blood flow was done for each patient. Statistical Analysis Used: Data were analyzed using the SPSS (SPSS, Chicago, IL, USA) software program. Results: The resistive indexes of testicular, capsular, and intratesticular arteries of the operated and nonoperated side were similar preoperatively and did not differ ominously postoperatively. Conclusion: Laparoscopic hernia surgery does not have any significant effect on testicular blood supply and can be advocated safely without any added risk of testicular atrophy.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=5;spage=2465;epage=2468;aulast=Lodhacolor doppler ultrasoundinguinal hernialaparoscopic teppolypropylene meshtesticular perfusiontep repair
spellingShingle Mahendra Lodha
Mayank Badkur
Pavan Garg
Ashok Puranik
Ramkaran Chaudhary
Mahaveer S Rodha
Satya Prakash
Does laparoscopic hernia repair affect the vascularity of testis?
Journal of Family Medicine and Primary Care
color doppler ultrasound
inguinal hernia
laparoscopic tep
polypropylene mesh
testicular perfusion
tep repair
title Does laparoscopic hernia repair affect the vascularity of testis?
title_full Does laparoscopic hernia repair affect the vascularity of testis?
title_fullStr Does laparoscopic hernia repair affect the vascularity of testis?
title_full_unstemmed Does laparoscopic hernia repair affect the vascularity of testis?
title_short Does laparoscopic hernia repair affect the vascularity of testis?
title_sort does laparoscopic hernia repair affect the vascularity of testis
topic color doppler ultrasound
inguinal hernia
laparoscopic tep
polypropylene mesh
testicular perfusion
tep repair
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=5;spage=2465;epage=2468;aulast=Lodha
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AT ramkaranchaudhary doeslaparoscopicherniarepairaffectthevascularityoftestis
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