Can we preserve the necrotic testis caused by incarcerated inguinal hernia in infants under 3 months?

作者全名："Hou, Jinfeng; Feng, Wei; Liu, Qingshuang; Wang, Yi; Guo, Zhenhua; Liu, Wei"

作者地址："[Hou, Jinfeng; Feng, Wei; Liu, Qingshuang; Wang, Yi; Guo, Zhenhua; Liu, Wei] Chongqing Med Univ, Dept Gen Surg & Neonatal Surg, Childrens Hosp, Liangjiang Wing, Chongqing 401122, Peoples R China; [Hou, Jinfeng; Feng, Wei; Liu, Qingshuang; Wang, Yi; Guo, Zhenhua; Liu, Wei] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders Chongqing, China Int Sci & Technol Cooperat Base Child Dev &, Minist Educ,Key Lab Child Dev & Disorders,Children, Chongqing, Peoples R China"

通信作者："Liu, W (通讯作者)，Chongqing Med Univ, Dept Gen Surg & Neonatal Surg, Childrens Hosp, Liangjiang Wing, Chongqing 401122, Peoples R China.; Liu, W (通讯作者)，Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders Chongqing, China Int Sci & Technol Cooperat Base Child Dev &, Minist Educ,Key Lab Child Dev & Disorders,Children, Chongqing, Peoples R China."

来源：PEDIATRIC SURGERY INTERNATIONAL

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001112295800001

JCR分区：Q2

影响因子：1.5

年份：2023

卷号：40

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Incarcerated inguinal hernia (IIH); Testicular necrosis; Testicular atrophy; Infants

摘要："PurposeThis study aims to investigate whether necrotic testis resulting from incarcerated inguinal hernias can be preserved in infants under 3 months old.MethodsA retrospective analysis was conducted on data collected from infants under 3 months old who had necrotic testis caused by incarcerated inguinal hernias between 2016 and 2020. They were divided into two groups: the orchiectomy group and the testicular preservation group. The control group consisted of normal male children of the same age. Data regarding bilateral testicular volume, dihydrotestosterone, inhibin B, and antisperm antibodies were collected.ResultsThe study included 42 cases, with 18 patients being followed up for 6-54 months after the operation. In the testicular preservation group, 2 children did not experience testicular atrophy. There was no significant difference in the volume of the contralateral testes between the testicular preservation group and the control group; however, both groups had smaller testicular volumes compared to the orchiectomy group. There was no significant difference in the levels of inhibin B between the testicular preservation group and the orchiectomy group, although both were lower than the control group. Furthermore, no significant difference was observed in the levels of dihydrotestosterone and the positivity rate of antisperm antibodies among the three groups.ConclusionPreserving the necrotic testis may allow it to survive without impacting the contralateral testis. Therefore, a more conservative approach should be considered for orchiectomy when dealing with testicular necrosis caused by incarcerated inguinal hernias in infants."

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