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2016, Número 1

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Revista Cubana de Cirugía 2016; 55 (1)


Perfusión testicular en la hernioplastia de Lichtenstein

Molina FEJ, de la Paz MO, Tamayo GY, Bencomo GÁL, Aladro F

Idioma: Español
Referencias bibliográficas: 28
Paginas: 12-20
Archivo PDF: 73.59 Kb.


RESUMEN

Introducción: la hernioplastia de Lichtenstein es un proceder de buena aceptación con bajas tasas de recidiva. No existe consenso sobre el impacto que produce el contacto directo de la malla y la fibrosis que esta induce, sobre los elementos del cordón inguinal y su influencia en la perfusión testicular.
Objetivo: evaluar el efecto del contacto directo de la malla sobre la perfusión testicular en la hernioplastia de Lichtenstein.
Método: se realizó un estudio observacional, descriptivo, longitudinal y prospectivo en 43 pacientes intervenidos en el Hospital Universitario “Comandante Manuel Fajardo” de La Habana, de noviembre de 2010 a junio de 2015, a los que se les realizó hernioplastia de Lichtenstein. En cada paciente se estudió la perfusión testicular utilizando los índices de flujo sanguíneo de la arteria testicular.
Resultados: no se encontraron alteraciones de la perfusión testicular asociado al uso de la prótesis de polipropileno en la hernioplastia de Lichtenstein.
Conclusión: la colocación de la malla de polipropileno según la técnica de Lichtenstein no produce alteración de la perfusión testicular según nuestros resultados.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Matthews RD, Neumayer L. Inguinal hernia in the 21st century: an evidencebased review. Curr Probl Surg. 2011;45:261–312.

  2. Kocijan R, Sandberg S, Chan YW, Hollinsky C. Anatomical changes after inguinal hernia treatment: a reason for chronic pain and recurrence hernia? Surg Endosc 2010;24:395–9.

  3. Schumpelick V, Ramshaw B, Junge K. Hernia repair: the search for ideal mesh. Hernia. 2010;14:81–7.

  4. Torcivia A, Vons C, Barrat C, Dufour F, Champault G. Influence of mesh type on the quality of early outcomes after inguinal hernia repair in ambulatory setting controlled study: Glucamesh vs Polypropylene. Lan Arch Surg. 2011;396:173–8.

  5. Efthimiou M, Symeonidis D, Koukoulis G, Tepetes K, Zacharoulis D, Tzovaras G. Open inguinal hernia repair with the use of a polyglycolic acid-trimethylene carbonate absorbable mesh: a pilot study. Hernia. 2011;5:181–4.

  6. Negro P, Gossetti F, Dassatti MR, Andreuccetti J, D’Amore L. Bioabsorbable Gore BIO-A plug and patch hernia repair in young adults. Hernia. 2012;16:121–2.

  7. Brown CN, Finch JG. Which mesh for hernia repair? Ann R Coll Surg Engl.2010;92:272-8.

  8. Dilek ON, Yucel A, Akbulut G, Degirmenci B. Are there adverse effects of herniorrhaphy techniques on testicular perfusion? Evaluation by color Doppler ultrasonography. Urol Int. 2005;75:167–9.

  9. El-Awady S. E. Beneficial effect of inguinal hernioplasty on testicular perfusion and sexual function. Hernia. 2009;13(3):251-8.

  10. Taylor SG, Hair A, Baxter GM, Dwyer PJ. Does contraction of mesh following tension free hernioplasty effect testicular or femoral vessel blood flow? Hernia. 2001;5:13-15.

  11. Silber SJ. Microsurgical TESE and the distribution of spermatogenesis in nonobstructive azoospermia. Hum Reprod. 2010;15(11):2278–84.

  12. Matthews RD, Neumayer L. Inguinal hernia in the 21st century: an evidencebased review. Curr Probl Surg. 2011;45:261–312.

  13. Wantz GE. Testicular atrophy and chronic residual neuralgia as risks of inguinal hernioplasty. Surg Clin North Am. 1993;73:571–81.

  14. Hallén M Westerdahl J Nordin P Gunnarsson U Sandblom G Mesh hernia repair and male infertility: a retrospective register study. Surgery. 2012;151(1):94-8.

  15. Di Vita G, Milano S, Frazzetta M. Tension-free hernia repair is associated with an increase in inflammatory response markers against the mesh. Am J Surg. 2010;180:203-7.

  16. Brisinda G, Cina A, Nigro C, Cadeddu F, Brandara F, Marniga G, et al. Duplex ultrasound evaluation of testicular perfusion after tension-free inguinal hernia repair: results of a prospective study. Hepatogastroenterology. 2008;55(84):974-8.

  17. Lima Neto EV, Goldenberg A, Lucas MJ. Prospective study on the effects of a polypropylene prosthesis on testicular volume and arterial flow in patients undergoing surgical correction for inguinal hernia. Act Cir Bras. 2007;22:266-71.

  18. Scullu I, Filiz AI, Sen B, Ozdemir Y, Yucel E, Sinan H, et al. The effects of inguinal hernia repair on testicular function in young adults: a prospective randomized study. Hernia 2010;14:165–9.

  19. Jing D, Li FH, Guo YF, Yang LM, Zheng JF, Chen B, et al. Differential Diagnosis of Azoospermia and Etiologic Classification of Obstructive Azoospermia: Role of Scrotal and Transrectal US. Radiology. 2012;263(3):41.

  20. Lee SL, Jeffrey J, DuBois, Rishi M. Testicular Damage after surgical groin exploration for elective herniorrhaphy. J Pediatr Surg. 2000;35(2):327-30.

  21. Lefort C, Thoumas D, Badachi Y, Gobet F, Pfister C, Dacher JN. Ischemic orchiditis: review of 5 cases diagnosed by color Doppler ultrasonography. J Radiol. 2001;82(7):839–42.

  22. Pinggera GM, Mitterberger M, Bartsch G, Strasser H, Gradl J, Aigner F, et al. Assessment of the intratesticular resistive index by colour Doppler ultrasonography measurements as a predictor of spermatogenesis. BJU Int. 2008;101:722-6.

  23. Ramadan SU, Gokharman D, Tuncbilek I, et al. Does the presence of a mesh have an effect on the testicular blood flow after surgical repair of indirect inguinal hernia? J Clin Ultrasound. 2009;37:78–81.

  24. Beddy P, Ridgway PF, Geoghegan T, et al. Inguinal hernia repair protects testicular function: a prospective study of open and laparoscopic herniorraphy. J Am Coll Surg. 2011;203:17–23.

  25. Stula I, Druzijanic N, Srsen D, Capkun V, Perko Z. Influence of inguinal hernia mesh repair on testicular flow and sperm autoimmunity. Hernia. 2012;16:417–24.

  26. Bulus H, Dogan M, Tas A, Agladıoglu K, Coskun A. The effects of Lichtenstein tension-free mesh hernia repair on testicular arterial perfusion and sexual functions. Wien Klin Wochenschr. 2013;125(4):96-9.

  27. Ayede H, Erhan Y, Sakarya A, Kara E, Ilkgul O, Can M. Effect of mesh and its location on testicular flow and spermatogenesis in patients with groin hernia. Act Chir Belg. 2013;103:607-10.

  28. Peiper C, June K, Klinge U, Strehlau E, Ottingr A, Schumpelick V. Is there a risk of infertility after inguinal mesh repair? Experimental studies in the pig and the rabbit. Hernia. 2006;10:7-12.




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