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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

ACEVEDO F, ELBERTO et al. Spermatic cord and testicular swelling as a complication of inguinal hernia repair. Rev Chil Cir [online]. 2007, vol.59, n.1, pp.55-60. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262007000100010.

Background: A complication of inguinal hernia repair that is seldom mentioned is spermatic cord and testicular swelling. Aim: To study the frequency of this complication, its clinical manifestations and to analyze its pathogenesis. Material and Methods: A descriptive observational, prospective study in 304 men (aged 15 to 89 years), subjected to an inguinal hernia repair. Operation was performed under local anesthesia in an ambulatory basis, with standard surgical techniques. The postoperative assessment was done by a member of the surgical staff one week and one month after surgery. Results: A mild or moderate swelling occurred in 19.5% of patients and a large, severe spermatic cord and testicular swelling developed in 2.5% of the cases. The frequency was similar in patients with direct or indirect hernias. Those with recurrent hernias, with hernias growing into the scrotum or that required a mesh for hernia repair, had a significantly higher frequency of spermatic cord and testicular swelling. No patient developed testicular ischemia. Conclusions: Spermatic cord and testicular swelling is the consequence of the dissection required for hernia repair, that is followed by a variable grade of damage to the tissues, inflammation, venous and lymphatic congestion and edema. In seldom occasions venous thrombosis and testicular damage may take place

Palabras clave : Spermatic cord; testicle swelling; inguinal hernia repair.

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