Technique for mobilizing spermatic cord in open hernioplasty: a report of 78 patients         TAN Yi-hong*, DU Guo-neng, LIU Jian-wen，et al. *Department Ⅲ of General Surgery, Affiliated Nanhai Hospital of Southern Medical University, Foshan 528200, China
Corresponding author: QIU Wan-shou，E-mail: wsqiu-d@163.com
Abstract    Objective    To explore the security and feasibility of a new technique for mobilization of spermatic cord in hernioplasty for adult male. Methods    Between December 2009 and May 2011, a new method for mobilizing spermatic cord was used in elective Lichtenstein tension-free hernioplasty for 78 patients（19 patients with bilateral hernias）in the Department Ⅲ of General Surgery, Affiliated Nanhai Hospital of Southern Medical University. Blood loss, nerve injury and the time consuming for mobilizing spermatic cord were recorded. All the patients were followed up 3 months for post-operative complications. Results    Eighty-two cases of indirect hernia and 17 cases of direct hernia were repaired successfully in 78 patients. Spermatic mobilization was completed in 4-11 min with an average duration of 6.9 min. None of the patients had hemorrhage of more than 1 mL. One case of ilioinguinal nerve injury was suffered during the procedure. Three cases presented with postoperative fat liquefaction of the wound. Postoperative suprapubic region pain occurred in 1 case. No chronic pain was observed in the following 3 months. Conclusion    The new technique for spermatic cord mobilization in hernioplasty is simple and feasible, which deserved promotion in hernioplasty.