Surgical Procedures and Results of Modified Intraperitoneal Onlay Mesh Repair for Inguinal Hernia After Radical Prostatectomy

Ohuchi, Masakazu; Inaki, Noriyuki; Nagakari, Kunihiko; Kohama, Shintaro; Sakamoto, Kazuhiro; Ishizaki, Yoichi

doi:10.1089/lap.2020.0141

Cited by 3 publications

(4 citation statements)

References 10 publications

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“… The right lateral hernias ( Fig. 4 a) were repaired using a modified laparoscopic IPOM [7] . A peritoneal incision was made from the dorsal side of the hernial orifice and we entered through the preperitoneal space ( Fig.…”

Section: Case Presentationmentioning

confidence: 99%

A rare case of multiple port site incisional hernias repaired by laparoscopy-assisted intraperitoneal onlay mesh: A case report

Tazaki

Kohyama

Sugiyama

et al. 2023

International Journal of Surgery Case Reports

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Section: Case Presentationmentioning

confidence: 99%

A rare case of multiple port site incisional hernias repaired by laparoscopy-assisted intraperitoneal onlay mesh: A case report

Tazaki

Kohyama

Sugiyama

et al. 2023

International Journal of Surgery Case Reports

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“…For cases of IH after RP, laparoscopic repair is challenging and requires extensive experience in laparoscopic hernia repair [15][16][17]. The procedure is associated with a higher rate of morbidities.…”

Section: Introductionmentioning

confidence: 99%

Indications and Outcomes of a Hybrid Method Combining Laparoscopic and Anterior Approaches for Inguinal Hernia Repair

Kakizawa¹,

Tsujinaka²,

Mizusawa³

et al. 2022

Cureus

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IntroductionSurgery for complex inguinal hernia (IH) (recurrent IH or IH after radical prostatectomy (RP)) may be difficult because of the presumed scar or adhesion in the retropubic space. A hybrid method combining the laparoscopic and anterior approaches (HLAA) in a bidirectional surgical technique may be an option in complex IH cases. MethodsPatients at our institution who underwent IH repair for complex IH using HLAA from April 2018 to November 2019 were included. We retrospectively evaluated the patient characteristics, IH diagnosis, intraoperative variables, complications, and hernia recurrence during the follow-up period. ResultsTwenty patients were involved in this study. Seven patients underwent hLAA for recurrent IH, whereas the remaining 13 underwent hLAA for IH after RP. Five patients had bilateral IH, all of whom had IH after RP. The type of IH was lateral in 21 patients, medial in six patients, and lateral and medial in two patients. Hernia repair was performed using a patch alone in two patients and a plug and patch in 18 patients. Seroma or hematoma was observed in five patients, and one patient experienced chronic pain. No hernia recurrence was observed during the median follow-up period of 24 months. ConclusionhLAA could facilitate precise diagnosis and intraoperative confirmation of repair for recurrent IH and IH after RP. The intraoperative findings and the cause of recurrence can be easily shared among surgeons in hLAA. Further investigations are necessary to determine the long-term efficacy of hLAA in a larger cohort.

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“…TAPPH covers the entire myopectineal orifice with synthetic mesh but does not involve closure of the hernial defect. Many studies have reported the efficacy of TAPPH for IH after RARP 4,6,7. Considerable dissection in the medial space (Hesselbach triangle) and inferior space (Retzius space) is required for TAPPH, but such dissection is difficult because of fibrosis from the previous RARP.…”

mentioning

confidence: 99%

“…Many studies have reported the efficacy of TAPPH for IH after RARP. 4 , 6 , 7 Considerable dissection in the medial space (Hesselbach triangle) and inferior space (Retzius space) is required for TAPPH, but such dissection is difficult because of fibrosis from the previous RARP. In addition, the fibrosis of the Hesselbach triangle and Retzius space makes it difficult to preserve the inferior epigastric vessels.…”

mentioning

confidence: 99%

Efficacy of Laparoscopic Iliopubic Tract Repair Plus Transabdominal Preperitoneal Hernioplasty for Treating Inguinal Hernia After Robot-assisted Radical Prostatectomy

Lee¹

2023

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Background: Robot-assisted radical prostatectomy (RARP) is a risk factor for inguinal hernia (IH). Furthermore, in patients who have undergone RARP, the fibrotic scar tissue in the RARP area limits preperitoneal dissection. This study aimed to evaluate the efficacy of performing laparoscopic iliopubic tract repair (IPTR) in addition to transabdominal preperitoneal hernioplasty (TAPPH) to treat IH after RARP.Patients and Methods: A total of 80 patients with an IH after RARP were treated with TAPPH from January 2013 to October 2020 and were included in this retrospective study. Patients who underwent conventional TAPPH were categorized as the TAPPH group (25 patients with 29 hernias), whereas those who underwent TAPPH with IPTR were categorized as the TAPPH + IPTR group (55 patients with 63 hernias). The IPTR comprised suture fixation of the transversus abdominis aponeurotic arch to the iliopubic tract.Results: All patients had indirect IH. The incidence of intraoperative complications was significantly higher in the TAPPH group than in the TAPPH + IPTR group [13.8% (4/29) vs 0.0% (0/ 63), P = 0.011]. The average operative time was also significantly shorter in the TAPPH + IPTR group than in the TAPPH group (P < 0.001). There were no differences between the two groups in the duration of hospitalization, recurrence rate, and pain severity. Conclusions:The addition of laparoscopic IPTR to TAPPH for treating IH after RARP is safe and is associated with a minimal risk of intraoperative complications and a short operative time.

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Surgical Procedures and Results of Modified Intraperitoneal Onlay Mesh Repair for Inguinal Hernia After Radical Prostatectomy

Cited by 3 publications

References 10 publications

A rare case of multiple port site incisional hernias repaired by laparoscopy-assisted intraperitoneal onlay mesh: A case report

A rare case of multiple port site incisional hernias repaired by laparoscopy-assisted intraperitoneal onlay mesh: A case report

Indications and Outcomes of a Hybrid Method Combining Laparoscopic and Anterior Approaches for Inguinal Hernia Repair

Efficacy of Laparoscopic Iliopubic Tract Repair Plus Transabdominal Preperitoneal Hernioplasty for Treating Inguinal Hernia After Robot-assisted Radical Prostatectomy

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