Observational Prospective Clinical Study to estimate the effect of Lichtenstein’s Tension Free Inguinal Mesh Hernioplasty on Testicular perfusion.
Introduction: Inguinal hernia is one of the most common surgical complaint for which a patient presents to the surgery department. Tension free mesh repair is the most commonly performed procedure worldwide for this condition. After hernioplasty the prosthetic mesh that is placed undergoes shrinkage and fibrosis which might alter the arterial blood flow to the testis because of being in close proximity to its vascular supply. This might impair testicular function after the surgery.
Aim: To assess testicular function after Mesh Hernioplasty for Inguinal hernia repair.
Materials and Methods: This was an observational study which included patients undergoing Lichtenstein mesh hernioplasty for inguinal hernia in Department of general surgery in FH medical college, Agra from January 2021 to June 2021. A total of 50 patients were included. Patients were diagnosed with inguinal hernia clinically and radiologically. A Colour Doppler ultrasound was done preoperatively and after 3 months postoperatively to assess the testicular function.
Results: A total of 50 patients were taken up for the study who met the inclusion criteria of which 26 patients had indirect inguinal hernia, 10 patients with direct inguinal hernia and 14 patients with indirect inguinal hernia with posterior wall defect. The age group included patients between 26-65 years of age. No significant difference was noted in the Doppler parameters of the patients preoperatively and postoperatively.
Conclusion: This study reflects that mesh hernioplasty for inguinal hernia repair is a relatively safe procedure with no significant effect on testicular function.
Keywords: Inguinal Hernia, Colour Doppler, Testicular Function
Copyright (c) 2021 Puneet Agrawal, Nitish Jain, Waseem Akhtar, Abhishek Yadav
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