2016, Number 1
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Revista Cubana de Cirugía 2016; 55 (1)
Testicular perfusion in Lichtenstein hernioplasty
Molina FEJ, de la Paz MO, Tamayo GY, Bencomo GÁL, Aladro F
Language: Spanish
References: 28
Page: 12-20
PDF size: 73.59 Kb.
ABSTRACT
Introduction: Lichtenstein hernyoplasty is a well-accepted procedure with low
rates of recurrence. However, there is no consensus on the impact produced by direct mesh contact and the induced fibrosis, or on the elements of the inguinal
cord and its influence on testicular perfusion.
Objective: to evaluate the effect of direct mesh contact on testicular perfusion in
the Lichtenstein hernyoplasty.
Methods: an observational, descriptive, longitudinal and prospective study was
carried out with 43 patients who underwent Lichtenstein hernyoplasty and were
treated at Comandante Manuel Fajardo University Hospital of Havana, from
November 2010 to June 2015. Testicular perfusion was studied in each patient
using the blood flow rates of testicular artery.
Results: no testicular perfusion abnormalities were found to be associated with the
use of polypropylene mesh in Lichtenstein hernioplasty.
Conclusion: according to our results, the use of a polypropylene mesh by
Lichtenstein technique does not impair testicular perfusion.
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