The effect of surgical inguinal hernia repair on testicular blood supply: A prospective superb microvascular imaging ultrasonography study

IF 1.2 4区医学 Q3 ACOUSTICS Journal of Clinical Ultrasound Pub Date : 2024-09-13 DOI:10.1002/jcu.23821

Sevim Ozdemir, Tuba Selcuk Can, Rustu Turkay

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Abstract

PurposeIn this study, we aimed to evaluate the differences in vascularity between the testis on the inguinal hernia (IH) side and the contralateral healthy testis by performing preoperative and postoperative (first month) examinations with superb microvascular imaging ultrasonography (SMI USG), and to compare results with power Doppler (PD) USG.MethodsIn this prospective cohort study, 35 patients diagnosed with IH between April 2023 and July 2023 who were hospitalized in the general surgery ward of a tertiary hospital for IH surgery were evaluated.ResultsThe postoperative vascular index (VI) values obtained by SMI were found to be significantly lower than preoperative VI values in both operated and non‐operated testes (p < 0.001). The VI values obtained with PD in the postoperative period were significantly lower in the operated and nonoperated testes on both sides compared with the VI values obtained in the preoperative period (p < 0.001 and p = 0.029, respectively). There was a significant difference between preoperative and postoperative VI difference values obtained by SMI and PD on the operated side (p = 0.015).ConclusionIn our study examining patients who had undergone IH surgery, testicular vascularity was assessed more precisely with the SMI USG method compared with the PD method.

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腹股沟疝修补手术对睾丸供血的影响：前瞻性超级微血管超声成像研究

目的在这项研究中，我们旨在通过超微血管成像超声（SMI USG）进行术前和术后（第一个月）检查，评估腹股沟疝（IH）侧睾丸与对侧健康睾丸之间的血管差异，并将结果与动力多普勒（PD）USG进行比较。方法在这项前瞻性队列研究中，对 2023 年 4 月至 2023 年 7 月期间在一家三甲医院普外科病房住院接受 IH 手术治疗的 35 例确诊 IH 患者进行了评估。结果在手术和非手术睾丸中，SMI 获得的术后血管指数（VI）值均显著低于术前 VI 值（p <0.001）。与术前的 VI 值相比，术后用 PD 获得的两侧手术和非手术睾丸的 VI 值均明显较低（分别为 p < 0.001 和 p = 0.029）。结论在我们对接受 IH 手术的患者进行的研究中，与 PD 方法相比，SMI USG 方法能更精确地评估睾丸血管。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.