Abstract
Prosthetic mesh can contract by 20–75% of its original size within ten months after implantation. We set out to determine whether this contraction has any effect on testicular or femoral vessel blood flow following open or laparoscopic hernia repair.
Twenty patients who underwent mesh repair of a primary unilateral inguinal hernia repair by Open (10) or Laparoscopic (10) methods a median of 3 years previously were investigated by ultrasound to determine the haemodynamic characteristics of the testis and femoral vessels. There was no significant difference in testicular blood flow, volume or echogenicity between the different types of repair or the contralateral side. The vertical and transverse dimensions of the femoral artery and vein were similar in all groups as was blood flow.
Mesh contraction following inguinal hernioplasty does not adversely affect the testis or femoral vessels and can be used safely for both anterior and preperitoneal approaches.
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References
Amid PK (1997) Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia 1:15–21
Behre HM, Nashan D, Nieschlag E (1989) Objective measurement of testicular volume by ultrasonography: evaluation of the technique and comparison with orchidometer estimates. International Journal of Andrology 12:395–403
Elliot MP, Juler GL (1979) Comparison of marlex mesh and microporous teflon sheets when used for hernia repair in the experimental animal. Am J Surg 137:343–344
Fong MD, Wantz GE (1992) Prevention of ischaemic orchitis during inguinal hernioplasty. Surg. Gynecol. Obstet. 174:399–402
Fuse H, Takahara M, Ishii H, Sumiya H, Shimazaki J (1990) Measurement of testicular volume by ultrasonography. International Journal of Andrology 13:267–272
Hormonnai ZT, Fainman GF, Paz GF, David MP (1980) Testicular function after herniotomy. Andrologia 12:115–120
Koontz AR (1965) Atrophy of the testicle as a surgical risk. Surg Gynecol Obstet 120:511–513
Matsuda T, Horii Y, Yoshida O (1992) Unilateral obstruction of the vas deferens caused by childhood inguinal herniorrhaphy in male infertility patient. Fertil Steril 58:609–613
Middleton WD, Thorne DA, Melson GL (1989) Color Doppler ultrasound of the normal testis. American Journal of Roentgenology 152:293–297
Reid I, Devlin HB (1994) Testicular atrophy as a consequence of inguinal hernia repair. Br J Surg 81:91–93
Shulman AG, Amid PK, Lichtenstein IL (1992) The safety of mesh repair for primary inguinal hernias: Results of 3,019 operations from five diverse surgical sources. Am Surg 58:255–257
Usher FC (1962) Testicular atrophy as a risk inguinal hernioplasty. Surg, Gynecol & Obstet 154: 570–571
Wantz GE (1982) Testicular atrophy as a risk inguinal hernioplasty. Surgery, Gynecol & Obstet 154:570–571
Wright DM, Kennedy A, Baxter JN (1996) Early outcome after open versus extraperitoneal endoscopic tension-free hernioplasty: a randomised clinical trial. Surg 119:552–557
Yavetz H, Harash B, Yogev L, Homonnai ZT, Paz G (1991) Fertility of men following inguinal hernia repair. Andrologia 23:443–446
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Taylor, S.G., Hair, A., Baxter, G.M. et al. Does contraction of mesh following tension free hernioplasty effect testicular or femoral vessel blood flow?. Hernia 5, 13–15 (2001). https://doi.org/10.1007/BF01576157
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DOI: https://doi.org/10.1007/BF01576157