A Prospective Cohort Study in Pediatric Care Rawalpindi to Compare the Orchidopexy with and without Sac Ligation in Terms of Post-Operative Hernia Formation
Objective: To compare the frequency of hernia formation following orchidopexy of clinically palpable undescended testes, regardless of whether the sac was ligated during the procedure. Study Design: Prospective-cohort. Place and Duration of Study: This research was conducted at the Department of Ped...
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National University of Medical Sciences
2025-04-01
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| Series: | Life and Science |
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| Online Access: | https://lifenscience.org/index.php/life-and-science/article/view/667 |
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| author | Muhammad Hafeez ur Rehman Asrar Ahmad Rizwan Ahmed Sohail Jabbar Habib Ur Rehman Muhammad Sajid Jaral |
| author_facet | Muhammad Hafeez ur Rehman Asrar Ahmad Rizwan Ahmed Sohail Jabbar Habib Ur Rehman Muhammad Sajid Jaral |
| author_sort | Muhammad Hafeez ur Rehman |
| collection | DOAJ |
| description | Objective: To compare the frequency of hernia formation following orchidopexy of clinically palpable
undescended testes, regardless of whether the sac was ligated during the procedure.
Study Design: Prospective-cohort.
Place and Duration of Study: This research was conducted at the Department of Pediatric Surgery, Pak Emirates Military Hospital (PEMH), Rawalpindi, Pakistan from June 2022 to May 2023.
Methods: Eighty-six children were recruited for this study from the OPD using a non-probability consecutive
sampling technique. Half of them underwent orchidopexy in which the sac was ligated using the conventional
technique (Group A). In the other half, orchidopexy was done in which the sac was separated from the testicular
vessels and the vas deferens, but it was not ligated and only divided at the deep ring (Group B). Follow-up was
done 02, 06, 12 weeks, and 6 months after discharge, and patients were examined for post-operative hernia
formation in either group.
Results: This research showed that the mean age of children included in the study was 5.12 +3.35 years. The
results revealed that 39 (45.3%) children had right palpable undescended testes (UDT), 33 (38.4%) had left
undescended testes whereas 14 (16.3%) had bilateral disease. The mean operative time in this study was found
to be 33.31±12.26 minutes. The mean operative time in non-ligation group (27.65 ± 7.60 minutes) was
significantly reduced as compared to children in ligation group (38.97±13.44 minutes) with P-value of less than
0.001. Incidence of hernia formation was comparable in these two groups, and during the follow-up period, no
patient in either group developed hernia.
Conclusion: According to this research, it is safe to forego sac ligation during orchidopexy without increasing
the risk of post-operative hernia while also shortening the operative time.
How to cite this: Rehman MH, Ahmad A, Ahmed R, Jabbar S, Rehman H, Jaral MS. A Prospective Cohort Study in Pediatric Care Rawalpindi to Compare the Orchidopexy with and without Sac Ligation in Terms of Post-Operative Hernia Formation. Life and Science. 2025; 6(2): 178-183. doi: http://doi.org/10.37185/LnS.1.1.667 |
| format | Article |
| id | doaj-art-aaaa165e617b46f09b2ba6a08ea30acb |
| institution | OA Journals |
| issn | 2521-0475 2708-2970 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | National University of Medical Sciences |
| record_format | Article |
| series | Life and Science |
| spelling | doaj-art-aaaa165e617b46f09b2ba6a08ea30acb2025-08-20T02:09:28ZengNational University of Medical SciencesLife and Science2521-04752708-29702025-04-0162060610.37185/LnS.1.1.667667A Prospective Cohort Study in Pediatric Care Rawalpindi to Compare the Orchidopexy with and without Sac Ligation in Terms of Post-Operative Hernia FormationMuhammad Hafeez ur Rehman0Asrar Ahmad1Rizwan Ahmed2Sohail Jabbar3Habib Ur Rehman4Muhammad Sajid Jaral5Pak Emirates Military Hospital (PEMH), Rawalpindi, PakistanPak Emirates Military Hospital (PEMH), Rawalpindi, PakistanPak Emirates Military Hospital (PEMH), Rawalpindi, PakistanPak Emirates Military Hospital (PEMH), Rawalpindi, PakistanPak Emirates Military Hospital (PEMH), Rawalpindi, PakistanPak Emirates Military Hospital (PEMH), Rawalpindi, PakistanObjective: To compare the frequency of hernia formation following orchidopexy of clinically palpable undescended testes, regardless of whether the sac was ligated during the procedure. Study Design: Prospective-cohort. Place and Duration of Study: This research was conducted at the Department of Pediatric Surgery, Pak Emirates Military Hospital (PEMH), Rawalpindi, Pakistan from June 2022 to May 2023. Methods: Eighty-six children were recruited for this study from the OPD using a non-probability consecutive sampling technique. Half of them underwent orchidopexy in which the sac was ligated using the conventional technique (Group A). In the other half, orchidopexy was done in which the sac was separated from the testicular vessels and the vas deferens, but it was not ligated and only divided at the deep ring (Group B). Follow-up was done 02, 06, 12 weeks, and 6 months after discharge, and patients were examined for post-operative hernia formation in either group. Results: This research showed that the mean age of children included in the study was 5.12 +3.35 years. The results revealed that 39 (45.3%) children had right palpable undescended testes (UDT), 33 (38.4%) had left undescended testes whereas 14 (16.3%) had bilateral disease. The mean operative time in this study was found to be 33.31±12.26 minutes. The mean operative time in non-ligation group (27.65 ± 7.60 minutes) was significantly reduced as compared to children in ligation group (38.97±13.44 minutes) with P-value of less than 0.001. Incidence of hernia formation was comparable in these two groups, and during the follow-up period, no patient in either group developed hernia. Conclusion: According to this research, it is safe to forego sac ligation during orchidopexy without increasing the risk of post-operative hernia while also shortening the operative time. How to cite this: Rehman MH, Ahmad A, Ahmed R, Jabbar S, Rehman H, Jaral MS. A Prospective Cohort Study in Pediatric Care Rawalpindi to Compare the Orchidopexy with and without Sac Ligation in Terms of Post-Operative Hernia Formation. Life and Science. 2025; 6(2): 178-183. doi: http://doi.org/10.37185/LnS.1.1.667https://lifenscience.org/index.php/life-and-science/article/view/667cryptorchidisminguinal hernialigationoperative timeorchiopexy |
| spellingShingle | Muhammad Hafeez ur Rehman Asrar Ahmad Rizwan Ahmed Sohail Jabbar Habib Ur Rehman Muhammad Sajid Jaral A Prospective Cohort Study in Pediatric Care Rawalpindi to Compare the Orchidopexy with and without Sac Ligation in Terms of Post-Operative Hernia Formation Life and Science cryptorchidism inguinal hernia ligation operative time orchiopexy |
| title | A Prospective Cohort Study in Pediatric Care Rawalpindi to Compare the Orchidopexy with and without Sac Ligation in Terms of Post-Operative Hernia Formation |
| title_full | A Prospective Cohort Study in Pediatric Care Rawalpindi to Compare the Orchidopexy with and without Sac Ligation in Terms of Post-Operative Hernia Formation |
| title_fullStr | A Prospective Cohort Study in Pediatric Care Rawalpindi to Compare the Orchidopexy with and without Sac Ligation in Terms of Post-Operative Hernia Formation |
| title_full_unstemmed | A Prospective Cohort Study in Pediatric Care Rawalpindi to Compare the Orchidopexy with and without Sac Ligation in Terms of Post-Operative Hernia Formation |
| title_short | A Prospective Cohort Study in Pediatric Care Rawalpindi to Compare the Orchidopexy with and without Sac Ligation in Terms of Post-Operative Hernia Formation |
| title_sort | prospective cohort study in pediatric care rawalpindi to compare the orchidopexy with and without sac ligation in terms of post operative hernia formation |
| topic | cryptorchidism inguinal hernia ligation operative time orchiopexy |
| url | https://lifenscience.org/index.php/life-and-science/article/view/667 |
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