%0 Journal Article
%T Hernioplastia y orquidectom¨ªa
%A de la Cuadra E
%A Ronald
%A Korn O
%A Owen
%A Valdevenito S
%A Raul
%A Volosky H
%A Luc¨ªa
%A Rappoport S
%A Jaime
%A Bezama M
%A Jorge
%J Revista chilena de cirug¨ªa
%D 2006
%I Scientific Electronic Library Online
%R 10.4067/S0718-40262006000600005
%X 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
%K inguinal hernia
%K orchidectomy
%K hernioplasty.
%U http://www.scielo.cl/scielo.php?script=sci_abstract&pid=S0718-40262006000600005&lng=en&nrm=iso&tlng=en