| Are there adverse effects of herniorrhaphy techniques on testicular perfusion? Evaluation by color Doppler ultrasonography. | |
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MedLine Citation:
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PMID: 16123572 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To evaluate the efficacy of prosthetic meshes on testicular perfusion using color Doppler ultrasound (CDUS). MATERIALS AND METHODS: This study is a randomized prospective clinical trial with blind assessment of outcome. A total of 26 patients who underwent elective herniorrhaphy for groin hernia participated in the study. Each patient was randomly assigned to 1 of 2 groups: totally extraperitoneal preperitoneal hernia repair (TEP; n=13, mean age 46.7+/-1.6 years) or Lichtenstein hernia repair (LHR; n=13, mean age 54.2+/-2.7 years). Six of the patients had bilateral hernias (n=3 for each group). Blood flow indexes of the spermatic artery including end diastolic velocity (EDV), peak systolic velocity (PSV) and the resistive index (RI) were examined by CDUS. Ultrasound was performed just before the operations and repeated after 3 months. Kruskal-Wallis and Mann-Whitney U tests were used to evaluate the differences. RESULTS: No statistically significant differences were found between the preoperative and postoperative measurements which included blood flow parameters (PSV, EDV, and RI) of the testes (p>0.05). CONCLUSION: Neither the TEP or LHR technique had any decreasing effect on blood flow. |
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Authors:
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Osman Nuri Dilek; Aylin Yucel; Gokhan Akbulut; Bumin Degirmenci |
Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Urologia internationalis Volume: 75 ISSN: 0042-1138 ISO Abbreviation: Urol. Int. Publication Date: 2005 |
Date Detail:
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Created Date: 2005-08-26 Completed Date: 2005-12-08 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0417373 Medline TA: Urol Int Country: Switzerland |
Other Details:
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Languages: eng Pagination: 167-9 Citation Subset: IM |
Copyright Information:
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Copyright (c) 2005 S. Karger AG, Basel. |
Affiliation:
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Department of General Surgery, Afyon Kocatepe University School of Medicine, Afyon, Turkey. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Follow-Up Studies Hernia, Inguinal / diagnosis, surgery* Humans Laparoscopy / adverse effects, methods* Laparotomy / adverse effects, methods* Male Middle Aged Postoperative Complications / physiopathology, ultrasonography Postoperative Period Preoperative Care Probability Prospective Studies Regional Blood Flow Risk Assessment Single-Blind Method Statistics, Nonparametric Surgical Mesh Testis / blood supply*, ultrasonography* Treatment Outcome Ultrasonography, Doppler, Color |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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