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Hernioplastia y orquidectomía

DOI: 10.4067/S0718-40262006000600005

Keywords: inguinal hernia, orchidectomy, hernioplasty.

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Abstract:

background: in patients with a high surgical risk, a concomitant orchidectomy may reduce the surgical risk and time, and improve the results of a hernioplasty. aim: to report the experience of concomitant orchidectomy during hernia repair. material and methods: prospective study of patients with chronic irreducible inguinal hernia and with severe medical conditions that increased surgical risk, in whom a concomitant orchidectomy was performed during the hernia repair. all were informed about the procedure and gave their consent. results: eight patients aged 41 to 85 years, were operated between 2000 and 2005. nine orchidectomies were performed. five patients, with a mean age of 76 years, had severe cardiovascular diseases and two patients had mental deficiency. three had a previous hernia repair, four had a hydrocele, that was bilateral in one. the hernia sac contained mainly colon and ileum. mean operative time was 105 minutes in six patients, 6 hours in one patient that required the reduction of a giant hydrocele and four hours in one patient that required the reconstruction of the inguinal wall. as postoperative complications, one patient had a sepsis of renal origin, one patient had delirium and the patient with the giant hydrocele had a wound dehiscence. the mean hospital stay among uncomplicated patients was 84 hours. conclusions: in patients with a poor surgical risk, orchidectomy reduces the operative time of inguinal hernia repair and reduces hospital stay

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