A Prospective Cohort Study in Pediatric Care Rawalpindi to Compare the Orchidopexy with and without Sac Ligation in Terms of Post-Operative Hernia Formation

Abstract

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