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Prospective ultrasonographic study of blood flow and testicular volume in patients submitted to surgical repair of inguinal hernia without using prosthesis
David, Cláudio de Saboya; Goldenberg, Alberto.
  • David, Cláudio de Saboya; Universidade Federal de São Paulo. Postgraduate Program in Interdisciplinary Surgical Science. BR
  • Goldenberg, Alberto; Universidade Federal de São Paulo. Postgraduate Program in Interdisciplinary Surgical Science. BR
Acta cir. bras ; 33(3): 268-281, Mar. 2018. tab, graf
Artículo en Inglés | LILACS | ID: biblio-886268
ABSTRACT
Abstract

Purpose:

To evaluate the behavior of arterial circulation and testicular volume in patients submitted to conventional inguinal hernia repair without the use of a synthetic prosthesis to reinforce the posterior wall.

Methods:

A prospective observational clinical trial was performed on 26 male patients with unilateral inguinal hernia types I and II by the Nyhus classification, who underwent surgical correction using the modified Bassini technique. Bilateral Doppler ultrasonography was performed preoperatively, at the third and at the sixth postoperative month. The studied variables were systolic peak velocity (SPV), diastolic peak velocity (DPV), resistance index (RI), pulsatility index (PI) and testicular volume.

Results:

There were no statistically significant changes over time in the variables studied on the operated side SPV (p = 0.916), DPV (p = 0.304), RI (p = 0.879), PI (p = 0.475), and testicular volume (p = 0.100). The variables on the control side also did not change statistically until the sixth postoperative month SPV (p = 0.784), DPV (p = 0.446), RI (p = 0.672), PI (p = 0.607), and testicular volume (p = 0.413).

Conclusion:

Surgical correction of the inguinal hernia without the use of a prosthesis does not cause alterations in vascularization and testicular volume in the first six months postoperatively.
Asunto(s)


Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Testículo / Hernia Inguinal Tipo de estudio: Ensayo Clínico Controlado / Estudio diagnóstico / Estudio observacional Límite: Adolescente / Adulto / Humanos / Masculino Idioma: Inglés Revista: Acta cir. bras Asunto de la revista: Cirugía General / Procedimentos Cir£rgicos Operat¢rios Año: 2018 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Universidade Federal de São Paulo/BR

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Testículo / Hernia Inguinal Tipo de estudio: Ensayo Clínico Controlado / Estudio diagnóstico / Estudio observacional Límite: Adolescente / Adulto / Humanos / Masculino Idioma: Inglés Revista: Acta cir. bras Asunto de la revista: Cirugía General / Procedimentos Cir£rgicos Operat¢rios Año: 2018 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Universidade Federal de São Paulo/BR