International Journal of Multidisciplinary Research and Development

International Journal of Multidisciplinary Research and Development


International Journal of Multidisciplinary Research and Development
International Journal of Multidisciplinary Research and Development
Vol. 5, Issue 4 (2018)

A prospective study of the effect of Prolene mesh on testicular perfusion and volume in patients with inguinal hernia undergoing Lichtenstein’s repair


Dr. Vijayalakshmi GN, Dr. Vivek K

Introduction: Lichtenstein’s Tension free mesh repair is simple, safe and effective procedure that has very low recurrence rates. It is well known that, direct contact of the mesh to the vessels in the inguinal canal and perimesh fibrosis may have a negative impact on testicular flow. Most of the clinical and experimental studies shows that mesh application for hernioplasty is a safe procedure in patients. The study aims at evaluating the effect of prolene mesh on the testes in patients undergoing Lichtenstein’s mesh repair. Methodology: This study evaluates the effect of prolene mesh in testicular volume and perfusion in patients undergoing Lichtenstein’s hernia repair. The study was conducted between November 2015 to May 2017 and total of 100 patients admitted with inguinal hernia, in the department of general surgery, Bangalore medical college were included. Results: In our study, most of the patients who underwent Lichtenstein’s hernia repair had uneventful post operative recovery. Seroma formation and surgical site infection were the most common complication noticed. In our study, there were no statistically significant differences between preoperative and postoperative measurements which included testicular blood flow parameters and testicular volume. Conclusion: Hernia repair technique by Lichenstein technique does not alter the testicular perfusion and testicular size. There may be clinical and experimental study results concerning whether testicular perfusion is adversely affected. It would be difficult to impair the testicular perfusion after hernia repair because of rich arterial supply and collateral capacity. The incidence of testicular atrophy reduced by limiting dissection, by leaving distal indirect hernia sacs, and by preserving the cremasteric muscle fibres. Fine surgical dissection and reconstruction with respect for anatomy and the use of proper prosthetic material could lead to the best results.
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How to cite this article:
Dr. Vijayalakshmi GN, Dr. Vivek K. A prospective study of the effect of Prolene mesh on testicular perfusion and volume in patients with inguinal hernia undergoing Lichtenstein’s repair. International Journal of Multidisciplinary Research and Development, Volume 5, Issue 4, 2018, Pages 75-81
International Journal of Multidisciplinary Research and Development