Study on Comparison of Outcome of Orchiopexy with and without ligation of hernial sac.
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 3
Abstract
Aim: Traditionally, ligation of hernial sac during orchiopexy is considered mandatory to prevent postoperative development of hernia. Our study is to compare the results of orchiopexy, with or without ligation of hernial sac. Materials and Methods: This is a retrospective study on the basis of statistical data available. Duration of the study was 2 years. Data of the patients who already had surgery with and without ligation of hernia were collected. All patients were below 3 years. In all cases testis was palpable in inguinal canal. No patient had evidence of inguinal hernia clinically. Total 66 patients were included in the study. Traditional orchiopexy, with ligation of sac was done in 40 patients, and they were grouped into group A. Rest 26 patients, had orchiopexy without ligation of sac were grouped into group B. In both group, standard orchiopexy was then performed by making subdartos pouch. Incidence of post operative hernia was compared in both groups. Patients were followed up for 3 years. Results: 100% cases of both groups were devoid of the complication of post operative inguinal hernia. Discussion: There is no risk of post operative inguinal hernia, in case of orchiopexy, even if we ligate the hernial sac or not. Provided there is no preoperative inguinal hernia.
Authors and Affiliations
Dr. Nirmal Bhaskar
Keywords
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