{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:10:06Z","timestamp":1756321806770,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,4,8]]},"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>This case report highlights and explores a rarely documented complication of inguinal hernia repairs that occurred in a man in his late 50s who underwent the aforementioned procedure as an elective day case. The patient acutely re-presented to the surgical department with the development of testicular pain that started from day 3 postoperatively, with a clinical examination revealing an extremely tender, swollen and erythematous right testicle. Intraoperative findings during an urgent scrotal exploration identified a non-viable testis requiring orchidectomy. This article explores the possible pathophysiology of how testicular ischaemia may occur postinguinal herniorrhaphy while highlighting the importance of early surgical intervention in suspected cases.<\/jats:p>","DOI":"10.1136\/bcr-2025-264998","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T23:35:11Z","timestamp":1744932911000},"page":"e264998","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Testicular ischaemia post inguinal hernia repair with biosynthetic mesh"],"prefix":"10.1136","volume":"18","author":[{"given":"Jadesh","family":"Manivannan","sequence":"first","affiliation":[{"name":"General Surgery, Prince Charles Hospital, Merthyr Tydfil, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shafiq","family":"Chughtai","sequence":"additional","affiliation":[{"name":"General Surgery, Prince Charles Hospital, Merthyr Tydfil, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,4,17]]},"reference":[{"key":"2025082711385531000_18.4.e264998.1","unstructured":"Benzi TC , et al . Testicular arteries anatomy applied to fowler-sthephens surgery in high undescended testis - a narrative review, international braz j urol: official journal of the brazilian society of urology. 2021. Available: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8691233\/#:~:text=Each%20testis%20is%20irrigated%20by,external%20spermatic%20artery)%2C%20a%20branch [Accessed 3 Nov 2024]."},{"key":"2025082711385531000_18.4.e264998.2","unstructured":"Kostenko Y , LaGrone L , Cribari C . Testicular ischaemia: one of the most unknown of post-evar complications, journal of vascular surgery: cases, innovations and techniques. 2024. Available: https:\/\/www.jvscit.org\/article\/S2468-4287(24)00106-0\/fulltext [Accessed 3 Nov 2024]."},{"key":"2025082711385531000_18.4.e264998.3","unstructured":"Klausner JM , et al . Femoral vein occlusion following mc-vay repair, postgraduate medical journal. 1986. Available: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC2418678\/?page=1 [Accessed 3 Nov 2024]."},{"key":"2025082711385531000_18.4.e264998.4","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.jus.2011.10.004","article-title":"Testicular ischemia after inguinal hernia repair","volume":"14","author":"Dellabianca","year":"2011","journal-title":"J Ultrasound"},{"key":"2025082711385531000_18.4.e264998.5","doi-asserted-by":"crossref","unstructured":"\u00d6zsa\u011f\u0131r Y , et al . A rare complication after inguinal hernia repair: Testicular torsion. The European Research Journal 2019.","DOI":"10.18621\/eurj.381909"},{"key":"2025082711385531000_18.4.e264998.6","doi-asserted-by":"crossref","first-page":"323","DOI":"10.4103\/0970-1591.33736","article-title":"Testicular ischemia following mesh hernia repair and acute prostatitis","volume":"23","author":"Pietro","year":"2007","journal-title":"Indian J Urol"},{"key":"2025082711385531000_18.4.e264998.7","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2482-1-3","article-title":"Open tension free repair of inguinal hernias; the Lichtenstein technique","volume":"1","author":"Sakorafas","year":"2001","journal-title":"BMC Surg"},{"key":"2025082711385531000_18.4.e264998.8","article-title":"The Lichtenstein technique is being used adequately in inguinal hernia repair: national analysis and review of the surgical technique","volume":"50","author":"Messias","year":"2023","journal-title":"Rev Col Bras Cir"},{"key":"2025082711385531000_18.4.e264998.9","doi-asserted-by":"publisher","DOI":"10.1080\/08941930500249027"},{"key":"2025082711385531000_18.4.e264998.10","doi-asserted-by":"crossref","first-page":"1344","DOI":"10.1016\/S0022-5347(01)61681-1","article-title":"The effects of mesh bioprosthesis on the spermatic cord structures: a preliminary report in a canine model","volume":"161","author":"Uzzo","year":"1999","journal-title":"J Urol"},{"key":"2025082711385531000_18.4.e264998.11","unstructured":"Pape-K\u00f6hler C , Heiss M . Lichtenstein repair of inguinal hernia, webop: general and visceral surgery. Webop: General and visceral surgery; 2024. Available: https:\/\/www.webop.com\/general-and-visceral-surgery\/hernia-surgery\/lichtenstein-repair-of-inguinal-hernia [Accessed 3 Nov 2024]."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-264998","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:39:05Z","timestamp":1756319945000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-264998"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":11,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,4,17]]},"published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1136\/bcr-2025-264998"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-264998","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,4]]}}}