PURPOSE: To evaluate the efficacy of prosthetic meshes on testicular perfusion using color Doppler ultrasound (CDUS). MATERIALS AND METHODS: This study is a randomized prospective clinical trial with blind assessment of outcome. A total of 26 patients who underwentelective herniorrhaphyfor groin hernia participated in the study. Each patient was randomly assigned to 1 of 2 groups: totally extraperitoneal preperitoneal hernia repair (TEP; n=13, mean age 46.7+/-1.6 years) or Lichtenstein hernia repair (LHR; n=13, mean age 54.2+/-2.7 years). Six of the patients had bilateral hernias (n=3 for each group). Blood flow indexes of the spermatic artery including end diastolic velocity (EDV), peak systolic velocity (PSV) and the resistive index (RI) were examined by CDUS. Ultrasound was performed just before the operations and repeated after 3 months. Kruskal-Wallis and Mann-Whitney U tests were used to evaluate the differences. RESULTS: No statistically significant differences were found between the preoperative and postoperative measurements which included blood flow parameters (PSV, EDV, and RI) of the testes (p>0.05). CONCLUSION: Neither the TEP or LHR technique had any decreasing effect on blood flow. Copyright (c) 2005 S. Karger AG, Basel.
RCT Entities:
PURPOSE: To evaluate the efficacy of prosthetic meshes on testicular perfusion using color Doppler ultrasound (CDUS). MATERIALS AND METHODS: This study is a randomized prospective clinical trial with blind assessment of outcome. A total of 26 patients who underwent elective herniorrhaphy for groin hernia participated in the study. Each patient was randomly assigned to 1 of 2 groups: totally extraperitoneal preperitoneal hernia repair (TEP; n=13, mean age 46.7+/-1.6 years) or Lichtenstein hernia repair (LHR; n=13, mean age 54.2+/-2.7 years). Six of the patients had bilateral hernias (n=3 for each group). Blood flow indexes of the spermatic artery including end diastolic velocity (EDV), peak systolic velocity (PSV) and the resistive index (RI) were examined by CDUS. Ultrasound was performed just before the operations and repeated after 3 months. Kruskal-Wallis and Mann-Whitney U tests were used to evaluate the differences. RESULTS: No statistically significant differences were found between the preoperative and postoperative measurements which included blood flow parameters (PSV, EDV, and RI) of the testes (p>0.05). CONCLUSION: Neither the TEP or LHR technique had any decreasing effect on blood flow. Copyright (c) 2005 S. Karger AG, Basel.
Authors: F S Lozano; J Sánchez-Fernández; J R González-Porras; J García-Alovio; J A Santos; R Mateos; I Alberca Journal: Hernia Date: 2015-02-08 Impact factor: 4.739
Authors: Mahendra Lodha; Mayank Badkur; Pavan Garg; Ashok Puranik; Ramkaran Chaudhary; Mahaveer S Rodha; Satya Prakash Journal: J Family Med Prim Care Date: 2020-05-31