title: Impact of herniorraphy technique on testicular perfusion: results of a prospective study.
abstract: BACKGROUND
  Inguinal hernia repair is one of the most frequently performed operations. The Lichtenstein hernia repair is the most popular hernia repair technique in general surgical practice. However, totally extraperitoneal-preperitoneal hernia repair technique has been frequently used technique recently. The aim of this prospective, randomized, clinical study was to evaluate testicular perfusion after these 2 procedures.
  
  
  METHODS
  In our prospective randomized study, 32 male patients, aged 33 to 72 years who fulfilled the inclusion criteria underwent elective herniorraphy for groin hernia. The patients were randomly assigned into either Lichtenstein hernia repair (n=16) or totally extraperitoneal-preperitoneal hernia repair (n=16) group according to their admittance. Color Doppler ultrasonography of the testes was performed on all patients 1 day before the operation, 3 days and 6 months after the operation.
  
  
  RESULTS
  The results of the resistive index of the both groups; Lichtenstein hernia repair and totally extraperitoneal-preperitoneal hernia repair are statistically insignificant in all preoperative, early and late postoperative periods (P>0.05).
  
  
  CONCLUSIONS
  Either Lichtenstein hernia repair or totally extraperitoneal-preperitoneal hernia repair does not effect the testicular perfusion.
authors.affiliation: Department of General Surgery (2nd surgery unit), Haydarpasa Numune Training & Research Hospital, Istanbul, Turkey.
authors.forename: Neset
authors.initials: N
authors.lastname: Koksal
authors.forename: Ediz
authors.initials: E
authors.lastname: Altinli
authors.forename: Aziz
authors.initials: A
authors.lastname: Sumer
authors.forename: Atilla
authors.initials: A
authors.lastname: Celik
authors.forename: Ender
authors.initials: E
authors.lastname: Onur
authors.forename: Kemal
authors.initials: K
authors.lastname: Demir
authors.forename: Hakan
authors.initials: H
authors.lastname: Sumer
authors.forename: Dogan
authors.initials: D
authors.lastname: Kus
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D006552:Hernia, Inguinal / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D012039:Regional Blood Flow / Q000502:physiology; D013526:Surgical Mesh; D013536:Suture Techniques; D013737:Testis / Q000098:blood supply / Q000000981:diagnostic imaging; D013997:Time Factors; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color