[Herniotomy as a cause of male infertility]

The article deals with 8 cases of iatrogenic obstruction of the vas deferens after herniotomy for inguinal hernia, the consequence of which was sterility. Anastomosis of the vas deferens was formed in 6 patients by means of precision microsurgical manipulations; the spermatological indices improved markedly in 3 of them, which was evidence of restored passage of the semen. To avoid injury to the spermatic cord, the author recommends microsurgical techniques in treatment of the hernial sac in children with congenital inguinal hernia.