Safety and efficacy of Tension Free Mesh Repair of Bilateral Inguinal Hernia on The Testicular Functions
Abdel Rahman, M., Amr, W., Mansy, W., Abdellatif, H. (2022). Safety and efficacy of Tension Free Mesh Repair of Bilateral Inguinal Hernia on The Testicular Functions. EKB Journal Management System, 28(6.2), 105-110. doi: 10.21608/zumj.2019.16078.1436
Mahmoud Abdel Ghany Abdel Rahman; Wesam Mohammad Amr; Wael Salah Eldin Mansy; Hazem Nour Abdellatif. "Safety and efficacy of Tension Free Mesh Repair of Bilateral Inguinal Hernia on The Testicular Functions". EKB Journal Management System, 28, 6.2, 2022, 105-110. doi: 10.21608/zumj.2019.16078.1436
Abdel Rahman, M., Amr, W., Mansy, W., Abdellatif, H. (2022). 'Safety and efficacy of Tension Free Mesh Repair of Bilateral Inguinal Hernia on The Testicular Functions', EKB Journal Management System, 28(6.2), pp. 105-110. doi: 10.21608/zumj.2019.16078.1436
Abdel Rahman, M., Amr, W., Mansy, W., Abdellatif, H. Safety and efficacy of Tension Free Mesh Repair of Bilateral Inguinal Hernia on The Testicular Functions. EKB Journal Management System, 2022; 28(6.2): 105-110. doi: 10.21608/zumj.2019.16078.1436

Safety and efficacy of Tension Free Mesh Repair of Bilateral Inguinal Hernia on The Testicular Functions

Zagazig University Medical Journal
Article 16, Volume 28, Issue 6.2, November 2022, Page 105-110  XML PDF (459.03 K)
Document Type: Original Article
DOI: 10.21608/zumj.2019.16078.1436
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Authors
Mahmoud Abdel Ghany Abdel Rahman email orcid 1; Wesam Mohammad Amr2; Wael Salah Eldin Mansy3; Hazem Nour Abdellatif4
1Department of general surgery- Faculty of Medicine- Zagazig University- Egypt
2General surgery -zagazig faculty of medicine
3General surgery department zagazig university
4General surgery department - Zagazig university
Abstract
Abstract:
Background: Lichtenstein repair is the standard surgical method of inguinal hernia. The impact of the mesh repair on the testis and incidence of infertility after the mesh repair is still a subject of discussion. The aim of this study was to evaluate the testicular functions after tension free mesh repair of bilateral inguinal hernia.
Subjects and methods: In the period between October 2018 and April 2019 in the General Surgery Department of Zagazig University and Al Ahrar teaching Hospitals, 18 male patients with bilateral inguinal hernia ranging between 20 and 40 years were subjected to Lichtenstein tension free mesh repair. All the patients have been evaluated pre & 6 months postoperatively to assess the testicular functions after the repair.
Results: No significant differences have been noted between the pre & postoperative fertility parameters which include the testicular volume and perfusion measured by scrotal Doppler ultrasound, semen quality which determine spermatogenesis and hormonal assessment which evaluate the endocrinological status.
Conclusions: Lichtenstein tension free mesh repair is an effective procedure for the repair of bilateral inguinal hernia when an experienced surgeon in laparoscopic repair isn't present. It is a safe method with less complication rates regarding recurrence, pain. Also, it can be used in the young adults using a synthetic mesh without any fear for the future fertility of those patients.
Keywords: Inguinal hernia, Lichtenstein repair, scrotal ultrasonography, semen analysis, hormonal assessment.
Keywords
Inguinal hernia; Lichtenstein repair; scrotal ultrasonography; Semen Analysis; hormonal assessment
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