Is ligation of hernial sac during orchiopexy mandatory?
OBJECTIVE
Traditionally, ligation of hernial sac during orchiopexy is considered mandatory to prevent postoperative development of hernia. A prospective study was carried out to see if it is actually required based on the fact that any peritoneal defect closes within 24 hours by metamorphosis of the in situ mesodermal cells.


METHODS
Fifty cases of undescended testis, age ranging from eight months to 12 years were enrolled. All of them underwent standard orchiopexy without ligation of the hernial sac.


RESULTS
Follow up of all cases ranged between 1.5 years to three years. Not a single case was reported with evidence of hernia.


CONCLUSIONS
It is unnecessary to ligate the hernial sac during orchiopexy.
Kumari
Veena
V
Department of Pediatric Surgery, Medical College and Hospital, Kolkata, West Bengal, India.
Biswas
Nilay
N
Mitra
Nilanjan
N
Konar
Hiralal
H
Ghosh
Dipak
D
Das
Sukanta K
SK