title: Modified Lichtenshtein hernioplasty prevents male infertility.
abstract: BACKGROUND
  Lichtenstein hernia repair made revolutionary progress in hernia treatment. Since that a lot of modifications have been proposed. In a few of them attention is drawn to spermatic cord isolation from a mesh for prevention of spermatic cord involvement into inflammatory process which may lead to disturbances in ejaculation act and spermatogenesis itself
  
  
  OBJECTIVE
  To compare morphological parameters of sperm prior and after hernia surgery in those groups of patients who underwent Lichtenstein and modified Lichtenstein (with spermatic cord isolation from a mesh by Gvenetadze) hernia repairs.
  
  
  CONCLUSIONS
  Our experience showed that modified Lichtenstein hernioplasty which involves spermatic cord complete isolation from the mesh prevents male infertility especially in the case of bilateral hernia repair.
authors.affiliation: Department of Surgery at Gudushauri National Medical Center, Georgia.
authors.forename: Merab
authors.initials: M
authors.lastname: Kiladze
authors.forename: Tamaz
authors.initials: T
authors.lastname: Gvenetadze
authors.forename: Giorgi
authors.initials: G
authors.lastname: Giorgobiani
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007248:Infertility, Male / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D013076:Sperm Count; D013085:Spermatic Cord; D013091:Spermatogenesis; D013094:Spermatozoa / Q000166:cytology*; D016683:Supine Position; D013526:Surgical Mesh