Impact of slit and nonslit mesh technique on testicular perfusion and volume in the early and late postoperative period of the totally extraperitoneal preperitoneal technique in patients with inguinal hernia.
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| Abstract | AIMS: Using slit and nonslit mesh in laparoscopic totally extraperitoneal preperitoneal (TEPP) inguinal hernia repair are well-known approaches. The aim of this prospective, randomized, clinical study was to assess testicular perfusion after these procedures. METHODS: In the study period, 40 male patients with unilateral inguinal hernia were assigned into 2 equal groups as follows: slit (S) and nonslit (NS). TEPP hernia repair was performed in all patients. In the 2 groups, testicular arterial blood flow and testis volumes were measured by Doppler ultrasonography preoperatively, on the 5th postoperative day, and 6 months postoperatively, respectively. RESULTS: No statistically significant difference was found between the preoperative, 5th day postoperatively, and 6-month arterial resistance index (ARI) results when comparing the S and NS groups in ultrasonographic testicular blood flow studies. There was no statistically significant difference of testicular volume between the preoperative period, the 5th postoperative day, and 6 months postoperatively in the 2 groups. CONCLUSIONS: According to the results, no statistically significant difference was found in terms of testicular perfusion and volume between those 2 methods of TEPP repair for inguinal hernia.
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| Authors | Aysun Simsek Celik, Naim Memmi, Fatih Celebi, Deniz Guzey, Atilla Celik, Rafet Kaplan, Mehmet Oncu |
| Journal | American journal of surgery (Am J Surg) Vol. 198 Issue 2 Pg. 287-91 (Aug 2009) ISSN: 1879-1883 [Electronic] United States |
| PMID | 19362282 (Publication Type: Journal Article, Randomized Controlled Trial) |
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