Title: Effect of Prosthetic Mesh in Laparoscopic Hernia Repair and Lichtenstein Procedure on Testicular Blood Flow in Patients with Inguinal Hernia
Authors: Jitendra B Bhadoria, Nimish Shah
DOI: http://dx.doi.org/10.18535/jmscr/v4i9.21
Abstract
Background: As there are fewer studies on the effect of mesh on testicular function, our study intends to review the safety profile of the Lichtenstein inguinal hernia repair and laparoscopic hernia repair with polypropylene mesh on male gonadal function in terms of testicular perfusion.
Aim and Objectives: To determine whether hernioplasty (open & laparoscopic) using synthetic mesh has influence on testicular perfusion.
Methods: Data was collected from the department of surgery at SSGH in the period from January 2015 to August 2015. The patients were studied by Doppler flow parameter PSV, EDV, PI, RI pre operatively, in the early post operative period (post operative 3rd day) and late post operative period (post operative 6th month).
Results: Total 70 patients were studied. 52 patients were operated by Lichtenstein procedure and 18 by Lap-TEP hernia repair with placement of prosthetic mesh. Doppler study was done postoperatively on 3rd day and on 6th month. Data were collected analysed for both group seperately, testicular perfusion and flow was analysed using Student Newman Kuels test to analyse within the subgroups and it showed us that there is a statistical significant difference between pre – operative and post – operative 3rd day parameter , post-operative 3rd day and post-operative 6th month parameter. There is no statistical difference between pre-operative parameters and post-operative 6th month parameter. This result was seen in both group Lichtenstein as well as Lap-TEP repair.
Conclusion: No alteration in testicular volume and arterial flow after a six-month period was observed among patients who underwent surgical correction for inguinal hernia using a polypropylene prosthesis.
Keywords: Inguinal hernia, Scrotal Doppler, Lichtenstein, Lap-TEP.
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