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18-10-2023 | Inguinal Hernia | Original Scientific Report with Video

Indocyanine Green Fluorescent Lymphography During Open Inguinal Hernia Repair: Relationship Between Lymphatic Vessel Injury and Postoperative Hydrocele

Authors: Yuichi Nakaseko, Masashi Yoshida, Teppei Kamada, Wataru Kai, Yoshinobu Fuse, Junji Takahashi, Keigo Nakashima, Norihiko Suzuki, Hironori Ohdaira, Yutaka Suzuki

Published in: World Journal of Surgery | Issue 12/2023

Abstract

Background

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.

Materials and Methods

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 “ultrasonic” (detected only by ultrasound imaging).

Results

In the univariate analysis, hernia type (p = 0.044) and ICG leakage (p = 0.007) were independent risk factors for postoperative ultrasonic hydroceles. Additionally, mesh type (p = 0.043) and ICG leakage (p = 0.025) were independent risk factors for postoperative symptomatic hydroceles. In the multivariate analysis, ICG leakage (p = 0.034) was an independent risk factor for postoperative ultrasonic hydroceles.

Conclusions

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.

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Title: Indocyanine Green Fluorescent Lymphography During Open Inguinal Hernia Repair: Relationship Between Lymphatic Vessel Injury and Postoperative Hydrocele
Authors: Yuichi Nakaseko
Masashi Yoshida
Teppei Kamada
Wataru Kai
Yoshinobu Fuse
Junji Takahashi
Keigo Nakashima
Norihiko Suzuki
Hironori Ohdaira
Yutaka Suzuki
Publication date: 18-10-2023
Publisher: Springer International Publishing
Keywords: Inguinal Hernia
Lymphography
Vessel Injury
Seroma
Published in: World Journal of Surgery / Issue 12/2023
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-023-07215-x

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Indocyanine Green Fluorescent Lymphography During Open Inguinal Hernia Repair: Relationship Between Lymphatic Vessel Injury and Postoperative Hydrocele

Abstract

Background

Materials and Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Materials and Methods

Results

Conclusions

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