IMPACT OF DIFFERENT ENDOPROSTHESIS ON TESTICULAR BLOOD FLOW OF PATIENTS OPERATED ON INGUINAL HERNIA
https://doi.org/10.24060/2076-3093-2012-0-4-15-19
Abstract
The article analyzes the short-and long-term outcomes of 42 male patients operated on inguinal hernia with the aid of liechtenstein’s technique. The modern classification of inguinal hernias, proposed by nyhus, has been used. Widely used prostheses "Esfil" ("linteks", St. Petersburg), and polypropylene implants modified by a coating of polyhydroxyalkanoates have been studied.
It is proved that the frequency to the remote and some early stent-related complications as well as the rate of change of the linear velocity of blood flow in the vessels of the groin with the help of the Doppler ultrasound (USDg) are affected by the choice of the endoprosthesis. In this case, the best results were observed in the study group, where the implants were used, modified by PgA-coating.
About the Authors
Yu. S. VinnikRussian Federation
T. G. Volova
Russian Federation
Krasnoyarsk
E. I. Shishatskaya
Russian Federation
A. V. Yakovlev
Russian Federation
Krasnoyarsk
N. M. Markelova
Russian Federation
E. V. Repina
Russian Federation
R. А. Pakhomova
Russian Federation
E. S. Vasilenya
Russian Federation
M. N. Kuznetsov
Russian Federation
Yu. А. Nazaryants
Russian Federation
References
1. Аладин А.С., Чукичев А.В., Гюнтер В.Э. и соавт. Изменение гемодинамических показателей в паренхиме яичка у больных с паховыми грыжами до и после операции // Анн. хир. – 2008. – №5. – С. 39-42.
2. Пряхин А. Н. Выбор способа и технические аспекты протезирующих герниопластик при лечении сложных форм паховых грыж // Вестн. хир. – 2007. – Т. 166. №2. – С. 96-99.
3. Соловьев А.А., Сахащик М.Н., Попкова С.В. и соавт. Особенности яичкового кровотока и патогенетические аспекты нарушения фертильности у пациентов с паховыми грыжами // Вестн. хир. – 2009. – Т. 168. № 3. – С. 103-106.
4. Шулутко А. М., Эль-Саед А. Х., Данилов А.И. и соавт. Результаты пластики «без натяжения» по методике Лихтенштейна у больных с паховыми грыжами // Анн. хир. – 2003. – №2. – С. 74-77.
5. Aydede H., Erhan y., Sakarya A. et al. Effect of mesh and its localization on testicular flow and spermatogenesis in patients with groin hernia // Acta chir. Belg. – 2003. – Vol. 103. №6. – P. 607-610.
6. Aytac B., cakar K. S., Karamercan A. comparison of Shouldice and lichtenstein repair for treatment of primary inguinal hernia // Acta chir. Belg. – 2004. – Vol. 104. №4. – P. 418-421.
7. Bessa S. S., Katri K. M., Abdel-Salam W. n. et al. Early results from the use of the lichtenstein repair in the management of strangulated groin hernia // Hernia. – 2007. – Vol. 11. №3. – P. 239-242.
8. Elsebae M. M., nasr M., Said M. Tension-free repair versus Bassini technique for strangulated inguinal hernia: A controlled randomized study // Int. J. Surg. – 2008. – Vol. 6. №4. – P. 302-305.
9. Shin D., lipshultz l.I., goldstein M. et al. Herniorrhaphy with polypropylene mesh causing inguinal vasal obstruction: a preventable cause of obstructive azoospermia // Ann. Surg. – 2005. – Vol. 241. № 4. – P. 553-558.
10. Zieren J., Maecker F., neuss H. Trevira mesh: a promising new implant for the treatment of abdominal hernias // langenbeck’s Arch. Surg. – 2002. – Vol. 387. – P. 9-13.
Review
For citations:
Vinnik Yu.S., Volova T.G., Shishatskaya E.I., Yakovlev A.V., Markelova N.M., Repina E.V., Pakhomova R.А., Vasilenya E.S., Kuznetsov M.N., Nazaryants Yu.А. IMPACT OF DIFFERENT ENDOPROSTHESIS ON TESTICULAR BLOOD FLOW OF PATIENTS OPERATED ON INGUINAL HERNIA. Creative surgery and oncology. 2012;(4):15-19. (In Russ.) https://doi.org/10.24060/2076-3093-2012-0-4-15-19