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International Journal of Pediatrics، جلد ۵، شماره ۵، صفحات ۴۹۱۹-۴۹۲۸
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عنوان انگلیسی The Role of Cremaster Muscle as a Cause of Ascending Testis after Inguinal Hernia/Hydrocele Repair
چکیده انگلیسی مقاله Background Ascending testis (AT) is one of the rare but serious complication that may occurs following inguinal hernia/hydrocele repair. We aimed to review our more than 7 years' experience and discuss the possible mechanism through which the AT possibly occurs following inguinal hernia/hydrocele repair. Materials and Methods A retrospective analysis of 7,212 boys who had undergone inguinal hernia/hydrocele repair between March 2009 and April 2016 was conducted. Exclusion criteria were: undescended testis, misdiagnosed AT, and retractile testis. Two types of surgical procedures were performed based on the medical records: (1) transection of the hernia sac and processus vaginalisalone and (2) isolation of the vas deferens and testicular vessels and a global transection of the remaining structures. Subsequently, post-operative incidence of AT was compared across variables extracted from the medical records. Results Sixteen (0.22%) patients were diagnosed with AT post operatively. AT incidence after inguinal hernia/hydrocele repair was reported in approximately 0.19% of the entire patient sample (in the 8491 hernia/hydrocele repairs). Comparison of AT incidence with the age at initial operation showed significant increase at the age of one year or less (P =0.017). In addition, AT incidence was significantly higher in the patients for whom only the sac/processus vaginalis was transected rather than the patients who underwent hernia/hydrocele repair with isolation of the vas deferens and testicular vessels (0.06% vs. 0.27%, respectively, P =0.023). Other subgroup analyses remained non-significant. Conclusion We conclude that transection of the cremaster muscle might decrease the incidence of ascending testis following inguinal hernia/ hydrocele repair.       
کلیدواژه‌های انگلیسی مقاله Ascending testis, Cremaster muscle, Inguinal hernia
نویسندگان مقاله امراله سلیمی | amrollah salimi
department of pediatric surgery of hazrat masoume hospital, qom university of medical sciences, qom, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی قم (Qom university of medical sciences)

شروین رشیدی نیا | shervin rashidi nia
student research committee, qom university of medical sciences, qom, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی قم (Qom university of medical sciences)

سارا شاهمرادی | sara shahmoradi
student research committee, qom university of medical sciences, qom, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی قم (Qom university of medical sciences)

سید شاهین افتخاری | seyed shahin eftekhari
student research committee, qom university of medical sciences, qom, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی قم (Qom university of medical sciences)

نشانی اینترنتی http://ijp.mums.ac.ir/article_8619.html
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