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

Objective: To compare the frequency of hernia formation following orchidopexy of clinically palpableundescended 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 consecutivesampling technique. Half of them underwent orchidopexy in which the sac was ligated using the conventionaltechnique (Group A). In the other half, orchidopexy was done in which the sac was separated from the testicularvessels and the vas deferens, but it was not ligated and only divided at the deep ring (Group B). Follow-up wasdone 02, 06, 12 weeks, and 6 months after discharge, and patients were examined for post-operative herniaformation in either group.Results: This research showed that the mean age of children included in the study was 5.12 +3.35 years. Theresults revealed that 39 (45.3%) children had right palpable undescended testes (UDT), 33 (38.4%) had leftundescended testes whereas 14 (16.3%) had bilateral disease. The mean operative time in this study was foundto be 33.31±12.26 minutes. The mean operative time in non-ligation group (27.65 ± 7.60 minutes) wassignificantly reduced as compared to children in ligation group (38.97±13.44 minutes) with P-value of less than0.001. Incidence of hernia formation was comparable in these two groups, and during the follow-up period, nopatient in either group developed hernia.Conclusion: According to this research, it is safe to forego sac ligation during orchidopexy without increasingthe 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