Related Experiment Video
Updated: Apr 5, 2026
Clinical Application of 24 G Cannula Needle and 3-0 Polypropylene Suture in Vas Deferens Exploration
Published on: February 10, 2023
Does the Percutaneous Internal Ring Suturing Technique Impair Testicular Vascularization in Children Undergoing
Halil Ibrahim Tanriverdi1, Ufuk Senel1, Zafer Ozmen2
11 Department of Pediatric Surgery, Gaziosmanpasa University Medical School , Tokat, Turkey .
Insights
The percutaneous internal ring suturing (PIRS) technique for pediatric inguinal hernia repair does not impact testicular vascularization. Doppler ultrasound confirmed no significant changes in blood flow parameters after PIRS surgery.
Area of Science:
- Pediatric Surgery
- Vascular Physiology
- Medical Devices
Background:
- Inguinal hernias are common in children.
- Surgical repair is necessary.
- Potential complications include testicular vascular compromise.
Purpose of the Study:
- To assess the impact of the percutaneous internal ring suturing (PIRS) technique on testicular blood flow.
- Evaluate PIRS for pediatric inguinal hernia repair.
Main Methods:
- Prospective study of 49 boys with unilateral inguinal hernias.
- Laparoscopic PIRS repair performed.
- Doppler ultrasound used pre- and post-operatively to measure testicular artery blood flow parameters (PSV, EDV, RI).
Main Results:
- No statistically significant differences in peak systolic velocity (PSV), end diastolic velocity (EDV), or resistivity index (RI) were observed.
- Testicular vascularization remained stable across preoperative, early, and late postoperative periods.
Conclusions:
- The PIRS technique for pediatric inguinal hernia repair does not adversely affect testicular vascularization.
- PIRS is a safe surgical option regarding testicular blood flow preservation.
Purpose:
The aim of this study was to evaluate the effect of the percutaneous internal ring suturing (PIRS) technique on testicular vascularization when used for inguinal hernia repair in children.
Subjects And Methods:
In this prospective study, 49 boys older than 1 year who had been diagnosed with unilateral inguinal hernia were evaluated. Hernias were repaired using the laparoscopic PIRS technique. The testes of each patient were examined using Doppler ultrasound at the preoperative, early postoperative, and late postoperative periods. Peak systolic velocity (PSV), end diastolic velocity (EDV), and resistivity index (RI) of the intratesticular centripetal and testicular capsular arteries were determined.
Results:
PSV, EDV, and RI of the centripetal and capsular arteries were similar between preoperative, early postoperative, and late postoperative periods, with no statistically significant differences detected.
Conclusions:
Testicular vascularization was not affected by hernia repair using the PIRS technique in our study. We therefore conclude that PIRS is a safe technique for inguinal hernia repair with respect to testicular vascularization.
