{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T16:13:17Z","timestamp":1789834397032,"version":"4.0.1"},"reference-count":12,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T00:00:00Z","timestamp":1697587200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T00:00:00Z","timestamp":1697587200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T00:00:00Z","timestamp":1697587200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This prospective case series analyzed patients who underwent indocyanine green (ICG) fluorescent lymphography during open inguinal hernia repair. The aim of this study was to investigate the association between ICG leakage and postoperative hydroceles in patients who underwent inguinal hernia repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Data were analyzed from 40 patients who underwent primary open hernia repair between October 2020 and June 2021 (44 cases in total). Hydroceles were categorized into two types: symptomatic and \u201cultrasonic\u201d (detected only by ultrasound imaging).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the univariate analysis, hernia type (<jats:italic>p<\/jats:italic>\u2009=\u20090.044) and ICG leakage (<jats:italic>p<\/jats:italic>\u2009=\u20090.007) were independent risk factors for postoperative ultrasonic hydroceles. Additionally, mesh type (<jats:italic>p<\/jats:italic>\u2009=\u20090.043) and ICG leakage (<jats:italic>p<\/jats:italic>\u2009=\u20090.025) were independent risk factors for postoperative symptomatic hydroceles. In the multivariate analysis, ICG leakage (<jats:italic>p<\/jats:italic>\u2009=\u20090.034) was an independent risk factor for postoperative ultrasonic hydroceles.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ICG leakage after inguinal hernia repair was independently associated with postoperative ultrasonic and symptomatic hydroceles. These findings suggest a relationship between lymphatic vessel injury and the incidence of postoperative hydroceles.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-023-07215-x","type":"journal-article","created":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T14:02:35Z","timestamp":1697637755000},"page":"3184-3191","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Indocyanine Green Fluorescent Lymphography During Open Inguinal Hernia Repair: Relationship Between Lymphatic Vessel Injury and Postoperative Hydrocele"],"prefix":"10.1002","volume":"47","author":[{"given":"Yuichi","family":"Nakaseko","sequence":"first","affiliation":[{"name":"Department of Surgery International University of Health and Welfare Hospital 537\u20103, Iguchi 329\u20102763 Nasushiobara City Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masashi","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Surgery International University of Health and Welfare Hospital 537\u20103, Iguchi 329\u20102763 Nasushiobara City Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teppei","family":"Kamada","sequence":"additional","affiliation":[{"name":"Department of Surgery International University of Health and Welfare Hospital 537\u20103, Iguchi 329\u20102763 Nasushiobara City Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wataru","family":"Kai","sequence":"additional","affiliation":[{"name":"Department of Surgery International University of Health and Welfare Hospital 537\u20103, Iguchi 329\u20102763 Nasushiobara City Tochigi 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September 2023","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 October 2023","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This prospective study complied with the Declaration of Helsinki and was approved by the Ethics Committee of our institution (number 13-B-60). Written informed consent was obtained from the study subjects.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}