关键词: 腹股沟疝, 疝修补术, 损伤, 生殖功能

Abstract: Strategies on the injury of reproductive function during inguinal hernia repair        DONG Yuan-qiang，CHEN Si-meng. Department of General Surgery，the First Affiliated Hospital of Nanjing Medical University，Nanjing 210029，China
Corresponding author：CHEN Si-meng，E-mail：chen_simeng@
yeah.net
Abstract    Infertility is a rare complication after inguinal hernia repair. Male inguinal hernia has a close anatomical relationship to the spermatic cord. Injury to spermatic vessels may cause postoperative ischemic orchitis，testicular atrophy，and endocrine dysfunction. Intraoperative injury to vas deferens or postoperative pathological changes at the surgical site may cause vasal obstruction resulting in oligospermia or azoospermia. Both vascular and vas deferens injury may lead to infertility. Therefore，various types of inguinal hernia surgery have always emphasized the operative protection of spermatic cord integrity. In addition，testicular ischemia，vas deferens injury or obstruction may also cause damage to the blood-testis barrier，followed by production of anti-sperm antibodies which may lead to immune infertility that requires attention from surgeons.

Key words: inguinal hernia, hernia repair, injury, reproductive function