The use of the preperitoneal approach for the simultaneous repair of inguinal hernia during surgery on the bladder and prostate

Walsh, Patrick C.

doi:10.1007/bf01658870

Cited by 36 publications

(15 citation statements)

References 6 publications

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“…However, our data supported by others [2,8,9] clearly demonstrate that this complication is relatively uncommon. In fact, patients undergoing radical retropubic prostatectomy are not likely to have a urinary tract infection while in patients undergoing Rinjack operation the urine can be sterilized before the procedure with a suitable antibiotic prophylaxis if silent urinary infection is suspected or apparent.…”

Section: Discussionsupporting

confidence: 79%

“…Furthermore, given the high frequency of 'prostatic open surgery', simultaneous repair of preexisting hernias seems to be a practical and logical choice since it avoids added morbidity associated with hernias, reducing too the risk of damage to the testicular vessels and sensory nerves. Several surgeons perform the modifi ed technique of Nyhus et al However, if it is true that a lax internal ring or a small indirect hernia can be repaired with a few sutures without tension in the surrounding tissues, the principal drawback of this method is an unavoidable tension on the repair for large defects and when the supporting tissues are atrophic [1][2][3][4]13] .…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, inguinal hernia(s) is the most common condition in men older than 45 years [2] . Furthermore, it is well known that the use of prosthetic mesh has reduced the recurrence rate of hernias in comparison to the common repair techniques [3][4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Preperitoneal Prosthetic Mesh Hernioplasty for the Simultaneous Repair of Inguinal Hernia during Prostatic Surgery: Experience with 172 Patients

Brunocilla

Vece²,

Lupo³

et al. 2005

Urol Int

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Objectives: We report our experience with posterior preperitoneal prosthetic hernioplasty for inguinal hernia in patients undergoing concomitant pelvic surgery for prostatic pathologies. Methods: 172 patients with unilateral or bilateral inguinal hernia underwent posterior preperitoneal prosthetic hernioplasty during pelvic surgery for BPH and malignant prostatic pathologies. Results: There was no evidence of hernial recurrence after a mean of 30 months and no complications attributable to the hernial repairs, except for 1 patient who developed a small periprosthetic hematoma and 1 patient with a pelvic lymphocele, both spontaneously resolved. Conclusions: Posterior preperitoneal prosthetic hernioplasty for inguinal hernia combined with pelvic surgery for prostatic pathologies should be applied routinely by urologists because it is a relatively simple procedure and with a very low rate of complications and recurrence.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Preperitoneal Prosthetic Mesh Hernioplasty for the Simultaneous Repair of Inguinal Hernia during Prostatic Surgery: Experience with 172 Patients

Brunocilla

Vece²,

Lupo³

et al. 2005

Urol Int

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show abstract

“…14,15 Open extraperitonal radical retropubic prostatectomy could be combined with inguinal hernia repair without additional complications. 16,17 Lee et al 18 reported repair of 48 hernias in 40 patients undergoing laparoscopic radical prostatectomy. They reported no increase in complications and no hernia recurrences.…”

Section: Discussionmentioning

confidence: 97%

Hernia Repair During Endoscopic Extraperitoneal Radical Prostatectomy: Outcome After 93 Cases

Liatsikos

Kallidonis

et al. 2011

Journal of Endourology

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“…However, it is more diYcult to account for inguinal hernias after laparoscopic radical prostatectomy. Subclinical inguinal hernias are found in 5-33% of patients undergoing radical prostatectomy [9][10][11][12]. This suggests that rather than being caused by the surgery, inguinal hernias found post-RP may represent subclinical hernias that become manifest after surgery.…”

Section: Introductionmentioning

confidence: 92%

Outcomes after concurrent inguinal hernia repair and robotic-assisted radical prostatectomy

et al. 2010

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Inguinal hernias occur more frequently following radical prostatectomy. Simultaneous inguinal hernia repair during open and laparoscopic radical prostatectomy for prostate cancer has been described previously. The emergence of robotic-assisted radical prostatectomy (RALP) has necessitated the evaluation of concomitant herniorrhaphy in this new setting. We report the outcomes of this operation in our series of patients. Retrospective review was performed on 700 patients with localised prostate cancer who underwent RALP performed by a single surgeon from 2004 to 2009. Details of cases where concurrent inguinal hernia repair was performed were recorded and compared with the remainder of the cohort. Hernia repair was performed using a monofilament knitted polypropylene cone mesh plug and fascial defect closure with Hem-o-Lok clips. A total of 38 inguinal herniorraphies were performed in 37 patients as a simultaneous procedure during transperitoneal RALP. The hernia repair on average added 5-10 min to the total procedure time. One patient underwent a bilateral repair. Across this group, mean age was 62.9 years, average body mass index was 27.1, and median follow-up was 29 months. There were no complications at the time of mesh placement. There were no cases complicated by wound infection, fluid collection, or chronic pain. Recurrence of an inguinal hernia occurred in one patient due to migration of the mesh. We conclude that concomitant inguinal hernia repair during RALP is safe, feasible, and effective. The herniorrhaphy can be performed quickly, adds little to the overall procedure time and avoids a further operative procedure for the patient.

show abstract

The use of the preperitoneal approach for the simultaneous repair of inguinal hernia during surgery on the bladder and prostate

Cited by 36 publications

References 6 publications

Preperitoneal Prosthetic Mesh Hernioplasty for the Simultaneous Repair of Inguinal Hernia during Prostatic Surgery: Experience with 172 Patients

Preperitoneal Prosthetic Mesh Hernioplasty for the Simultaneous Repair of Inguinal Hernia during Prostatic Surgery: Experience with 172 Patients

Hernia Repair During Endoscopic Extraperitoneal Radical Prostatectomy: Outcome After 93 Cases

Outcomes after concurrent inguinal hernia repair and robotic-assisted radical prostatectomy

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