1 Jul 2009Article
Modified Lichtenshtein hernioplasty prevents male infertility
Merab Kiladze 1Tamaz Gvenetadze 1Giorgi Giorgobiani 2
Affiliations
Article Info
1 Department of Surgery at Gudushauri National Medical Center
2 Department of Surgery at Tbilisi State Medical University Tbilisi, Georgia
Ann. Ital. Chir., 2009, 80(4), 305-309;
Published: 1 Jul 2009
Copyright © 2009 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
INTRODUCTION: Lichtenstein hernia repair made revolutionary progress in hernia treatment. Since that a lot of modifications have been proposed. In a few of them attention is drawn to spermatic cord isolation from a mesh for prevention of spermatic cord involvement into inflammatory process which may lead to disturbances in ejaculation act and spermatogenesis itself. AIM OF THE STUDY: To compare morphological parameters of sperm prior and after hernia surgery in those groups of patients who underwent Lichtenstein and modified Lichtenstein (with spermatic cord isolation from a mesh by Gvenetadze) hernia repairs. CONCLUSION: Our experience showed that modified Lichtenstein hernioplasty which involves spermatic cord complete isolation from the mesh prevents male infertility especially in the case of bilateral hernia repair.
Keywords
- Modified Lichtenstein hernia repair
- Morphology and cytology of sperm