Abstract

DE LA CUADRA E, Ronald et al. Hernioplasty and orchidectomy. Rev Chil Cir [online]. 2006, vol.58, n.6, pp.414-419. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262006000600005.

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

Keywords : Inguinal hernia; orchidectomy; hernioplasty.

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