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Is ligation of hernial sac during orchiopexy mandatory?

AIM: Traditionally, ligation of hernial sac during orchiopexy is considered mandatory to prevent postoperative development of hernia. A prospective study was carried out to see if it is actually required based on the fact that any peritoneal defect closes within 24 hours by metamorphosis of the in s...

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Autores principales: Kumari, Veena, Biswas, Nilay, Mitra, Nilanjan, Konar, Hiralal, Ghosh, Dipak, Das, Sukanta K.
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2905534/
https://www.ncbi.nlm.nih.gov/pubmed/20671849
http://dx.doi.org/10.4103/0971-9261.55155
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author Kumari, Veena
Biswas, Nilay
Mitra, Nilanjan
Konar, Hiralal
Ghosh, Dipak
Das, Sukanta K.
author_facet Kumari, Veena
Biswas, Nilay
Mitra, Nilanjan
Konar, Hiralal
Ghosh, Dipak
Das, Sukanta K.
author_sort Kumari, Veena
collection PubMed
description AIM: Traditionally, ligation of hernial sac during orchiopexy is considered mandatory to prevent postoperative development of hernia. A prospective study was carried out to see if it is actually required based on the fact that any peritoneal defect closes within 24 hours by metamorphosis of the in situ mesodermal cells. METHODS: Fifty cases of undescended testis, age ranging from eight months to 12 years were enrolled. All of them underwent standard orchiopexy without ligation of the hernial sac. RESULTS: Follow up of all cases ranged between 1.5 years to three years. Not a single case was reported with evidence of hernia. CONCLUSIONS: It is unnecessary to ligate the hernial sac during orchiopexy.
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spelling pubmed-29055342010-07-29 Is ligation of hernial sac during orchiopexy mandatory? Kumari, Veena Biswas, Nilay Mitra, Nilanjan Konar, Hiralal Ghosh, Dipak Das, Sukanta K. J Indian Assoc Pediatr Surg Original Article AIM: Traditionally, ligation of hernial sac during orchiopexy is considered mandatory to prevent postoperative development of hernia. A prospective study was carried out to see if it is actually required based on the fact that any peritoneal defect closes within 24 hours by metamorphosis of the in situ mesodermal cells. METHODS: Fifty cases of undescended testis, age ranging from eight months to 12 years were enrolled. All of them underwent standard orchiopexy without ligation of the hernial sac. RESULTS: Follow up of all cases ranged between 1.5 years to three years. Not a single case was reported with evidence of hernia. CONCLUSIONS: It is unnecessary to ligate the hernial sac during orchiopexy. Medknow Publications 2009 /pmc/articles/PMC2905534/ /pubmed/20671849 http://dx.doi.org/10.4103/0971-9261.55155 Text en © Journal of Indian Association of Pediatric Surgeons http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kumari, Veena
Biswas, Nilay
Mitra, Nilanjan
Konar, Hiralal
Ghosh, Dipak
Das, Sukanta K.
Is ligation of hernial sac during orchiopexy mandatory?
title Is ligation of hernial sac during orchiopexy mandatory?
title_full Is ligation of hernial sac during orchiopexy mandatory?
title_fullStr Is ligation of hernial sac during orchiopexy mandatory?
title_full_unstemmed Is ligation of hernial sac during orchiopexy mandatory?
title_short Is ligation of hernial sac during orchiopexy mandatory?
title_sort is ligation of hernial sac during orchiopexy mandatory?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2905534/
https://www.ncbi.nlm.nih.gov/pubmed/20671849
http://dx.doi.org/10.4103/0971-9261.55155
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