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FLAVIO MALCHER
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Post count: 8

Hi Jorge,

On those cases, perhaps is safer to stop the dissection and trasnsect the hernia sac. Better to deal with a seroma or hydrocele rather that ischemic orchitis.
If we get to the point where there is a complete transection fo the vessels, an orchiectomy maybe necessary. Always better to involve urology for the decision. I always consent for possible orchiectomy for recurrent complex inguinal hernias.