Self-fixing parietex progrip versus the standard sutured prolene mesh in tension-free repair of inguinal hernia: effect on testicular volume and testicular blood flow.

Heba El-Komy, Ahmed El-Gendi, Wael Abdel-Salam, Mohamed Elseidy, Elsaid Elkayal

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Article in Updates in surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed

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5 authors at 1 institution in 1 country.

Heba El-KomyDepartment of Surgery, Faculty of Medicine, University of Alexandria, El Sultan Hussein Street, El-Azarita, Khartoum Square, Alexandria, 21131, Egypt. rainy84.heba@gmail.com.ORCID http://orcid.org/0000-0003-4151-3796

Ahmed El-GendiDepartment of Surgery, Faculty of Medicine, University of Alexandria, El Sultan Hussein Street, El-Azarita, Khartoum Square, Alexandria, 21131, Egypt.

Wael Abdel-SalamDepartment of Surgery, Faculty of Medicine, University of Alexandria, El Sultan Hussein Street, El-Azarita, Khartoum Square, Alexandria, 21131, Egypt.

Mohamed ElseidyDepartment of Surgery, Faculty of Medicine, University of Alexandria, El Sultan Hussein Street, El-Azarita, Khartoum Square, Alexandria, 21131, Egypt.

Elsaid ElkayalDepartment of Surgery, Faculty of Medicine, University of Alexandria, El Sultan Hussein Street, El-Azarita, Khartoum Square, Alexandria, 21131, Egypt.

Alexandria University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our study was conducted to compare self-fixing lightweight polyester mesh (group I) to the standard heavy weight polypropylene mesh (group II) using tension-free Lichtenstein hernioplasty as regard to the effect of mesh implantation and perimesh fibrosis on testicular blood flow. 80 patients with uncomplicated inguinal hernia were divided in two groups. Doppler ultrasonography measured testicular volume, testicular artery velocity preoperative and 3rd month post operative. Blood flow in the testicles was represented by resistive index (RI). No case of testicular atrophy occurred in either group, however, in both groups a significant postoperative decrease in testicular volume (p = 0.001 in group I and p < 0.001 in group II) was accompanied by a significant increase in RI as compared to their pre-operative values (p < 0.001 in group I and p = 0.009 in group II). Comparing the two groups, patients in group I showed higher values of decrease in testicular volume accompanied by more increase in RI values postoperatively compared to group II patients, but these values did not reach a significant value (p = 0.107, p = 0.136). There was a significant increase in the number of post-operative varicocele and hydrocele in group I compared to group II. Mesh implantation has an effect on testicular size and blood flow by decreasing the testicular size and increasing the RI. This effect was more obvious in the parietex progrip. Although there is an indirect relation between RI and the sperm count, testicular blood flow alone is not enough to judge fertility.

Indexed as

CollagenPolyestersPolypropylenesSurgical MeshAdultFibrosisHernia, InguinalHerniorrhaphyHumansInfertility, MaleMaleMiddle AgedOrgan SizePostoperative ComplicationsProspective StudiesRegional Blood FlowCollagenparietexPolyestersPolypropylenesMale fertilityPolyester meshResistive indexTension-free hernioplasty

Identifiers

PMID29948662

DOI10.1007/s13304-018-0554-0

OpenAlexW2808478147

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.