Evaluation of Resistive Index Following Unilateral Childhood Inguinal Herniotomy at Aminu Kano Teaching Hospital, Kano, Nigeria
by Abbas Sani Muhammad, Abdulrahman Mohammad, Abubakar Yahaya, Alfa Yakubu, Anyanwu L.J.C, Bashir Mohammad, Bello Elbashir, Bello Muhideen, Fauziyya Abubakar, Hamza Rabiu, Hassan F. Hassan, Kamal Mohammad, Lawal B.A, Maimuna Abubakar, Mohammad A.M, Musa Saulawa Ibrahim, Ogunsua S.A, Sholadoye T.T, Umar Shuaibu
Published: June 20, 2026 • DOI: 10.51244/IJRSI.2026.1306000048
Abstract
Background: Herniotomy is said to be the most commonly performed surgery in children; however, its effect on testicular vascularity remains unknown in our environment.
Aim: To determine the effect of surgery (herniotomy) on testicular resistive index in children with unilateral inguinal hernia.
Study Design: Prospective non-randomized hospital-based study.
Methodology: Consecutive children, 1 month to 12 years, who presented with unilateral inguinal hernia were recruited, and informed consent was obtained. Pre-operative testicular resistive index of the ipsilateral testis was measured using Doppler ultrasound a day before surgery. At 7 and 30 days post-operatively, repeat testicular Resistive Index (RI) measurements were taken to determine if there was any significant change in the RI of the testes. The resistive index was determined using the intra-testicular peak systolic velocity and end-diastolic velocity. Differences between the testicular resistive index before and after herniotomy were tested using a paired t-test. A p-value of < 0.05 was taken as significant at the 95% confidence interval.