{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T03:37:08Z","timestamp":1776915428161,"version":"3.51.2"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2008,7,18]],"date-time":"2008-07-18T00:00:00Z","timestamp":1216339200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2009,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose.<\/jats:title><jats:p>Modern treatment of inguinal hernias includes prosthetic mesh repairs. However, direct contact of the mesh to the vessels in the inguinal canal and perimesh fibrosis may have a negative impact on testicular flow. The aim of this prospective study was to evaluate the effect of mesh implantation\/perimesh fibrosis on testicular flow after repair of indirect inguinal hernias (IIHs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method.<\/jats:title><jats:p>Forty\u2010eight male patients with unilateral IIH were included. Both testicular parenchyma were assessed using gray\u2010scale sonography, and color\/spectral Doppler sonography was performed to evaluate testicular arterial impedance, perfusion, and venous flow. Measurements were made bilaterally at the level of the inguinal canal 1 day before and at the end of the 2nd month after the operation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results.<\/jats:title><jats:p>There was no difference in testicular and echotexture perfusion between the hernia and the control sides pre\u2010 and postoperatively. No venous thrombosis was found. In all groups, resistance index and pulsatility index, measured at 4 levels, were highest in the proximal inguinal canal and lowest at the extratesticular\u2013intrascrotal level (<jats:italic>p<\/jats:italic> &lt; 0.05). For all Doppler parameters there was no significant difference between the pre\u2010 and postoperative measurements on both the hernia and the control sides.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion.<\/jats:title><jats:p>Mesh implantation\/perimesh fibrosis does not adversely affect ipsilateral testicular flow. Mesh application is still a safe procedure in male patients in whom testicular function is important. \u00a9 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2009<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcu.20516","type":"journal-article","created":{"date-parts":[[2008,7,18]],"date-time":"2008-07-18T21:00:35Z","timestamp":1216414835000},"page":"78-81","source":"Crossref","is-referenced-by-count":16,"title":["Does the presence of a mesh have an effect on the testicular blood flow after surgical repair of indirect inguinal hernia?"],"prefix":"10.1002","volume":"37","author":[{"given":"Selma Uysal","family":"Ramadan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dilek","family":"Gokharman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isil","family":"Tuncbilek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hilal","family":"Ozer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pinar","family":"Kosar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmut","family":"Kacar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Selim","family":"Temel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ugur","family":"Kosar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,7,18]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-005-0318-x"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-004-0313-7"},{"key":"e_1_2_1_4_2","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1080\/00015458.2003.11679502","article-title":"Effect of mesh and its location on testicular flow and spermatogenesis in patients with groin hernia","volume":"103","author":"Aydede H","year":"2003","journal-title":"Acta Chir Belg"},{"key":"e_1_2_1_5_2","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/s001040051011","article-title":"Pathology of traditional surgical nets for hernia repair after long\u2010term implantation in humans","volume":"71","author":"Klosterhalfen B","year":"2000","journal-title":"Chirurg"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/11024159950189726"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-005-0055-1"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01569134"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900644"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199402000-00006"},{"key":"e_1_2_1_11_2","first-page":"399","article-title":"Prevention of ischemic orchitis during inguinal hernioplasty","volume":"174","author":"Fong MD","year":"1992","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800810132"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/63333975"},{"key":"e_1_2_1_14_2","doi-asserted-by":"crossref","first-page":"1363","DOI":"10.1016\/S0039-6109(16)43194-4","article-title":"Complications of groin hernia repair","volume":"63","author":"Pollak R","year":"1983","journal-title":"Surg Clin North Am"},{"key":"e_1_2_1_15_2","first-page":"570","article-title":"Testicular atrophy as a risk of inguinal hernioplasty","volume":"154","author":"Wantz GE","year":"1982","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0096(199809)26:7<341::AID-JCU2>3.0.CO;2-9"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01576157"}],"container-title":["Journal of Clinical Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjcu.20516","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcu.20516","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T22:01:12Z","timestamp":1699912872000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jcu.20516"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,7,18]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2009,2]]}},"alternative-id":["10.1002\/jcu.20516"],"URL":"https:\/\/doi.org\/10.1002\/jcu.20516","archive":["Portico"],"relation":{},"ISSN":["0091-2751","1097-0096"],"issn-type":[{"value":"0091-2751","type":"print"},{"value":"1097-0096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,7,18]]}}}