Modified Lichtenshtein hernioplasty prevents male infertility

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COD: 305-310 Categorie: ,

Merab Kiladze, Tamaz Gvenetadze, Giorgi Giorgobiani

Ann. Ital. Chir., 2009; 80: 305-309

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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.

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