Frequency of postoperative inguinal hernia after endoscope‐assisted mini‐laparotomy and conventional retropubic radical prostatectomies

Abstract

Objective:The objective of the present study was to compare the incidence of postoperative inguinal hernia between endoscope-assisted mini-laparotomy retropubic radical prostatectomy (mini-lap RRP) with conventional techniques to identify possible risk factors. Methods: From April 1998 to December 2006, 347 consecutive cases with localized prostate cancer were treated with conventional RRP (75 cases) and mini-lap RRP (272 cases) with pelvic lymphadenectomy. Mini-lap RRP was carried out with a 6-cm median incision. The charts were retrospectively reviewed , and the incidence of and risk factors for postoperative inguinal hernia were assessed. Results: There were no significant differences in age, initial prostate-specific antigen concentrations, clinical stage, Gleason score, body mass index, incidence of previous major abdominal surgery (cholecystectomy, gastrectomy, and colectomy), previous appendectomy, and previous inguinal hernia repair between the two groups. Postoperative inguinal hernia was observed in 29 cases (38.7%) in the conventional RRP group and in eight cases (2.9%) in the mini-RRP group during the mean follow-up period of 26.1 months (range: 3-105 months). The patients treated with mini-lap RRP had significantly higher hernia-free survival than those treated with conventional RRP (log rank test, P < 0.001). Multivariate analysis showed that surgical technique (conventional RRP) and previous major abdominal surgery were risk factors for inguinal hernia (P < 0.001 and P = 0.007, respectively). Conclusions: Inguinal hernia was less frequent after mini-lap RRP than after conventional RRP. A history of a major abdominal surgery was an independent risk factor for this event.

Inguinal hernias in robotic-assisted laparoscopic radical prostatectomy: A surgeon’s experience

“…They concluded that IHs were less frequent after a mini-lap RRP than after a conventional RRP. 10 In contrast to the RRP, the abdominal cavity was not entered in a radical perineal prostatectomy (RPP), so it seems reasonable to assume that the risk of developing an IH postoperatively would not be increased. In the series of Matsubara et al, the incidence of IHs after an RPP was 1.8% (5 of 285) with a median follow-up time of 43 months, whereas the incidence of IHs after RRP was 10.3% (32 of 311) with a median follow-up of 36 months (p Z 0.0001).…”

Anterior Abdominal Wall Hernias and Andrological Disorders. Relationship, Some Problems of Epidemiology, Aetiology, and Simultaneous Surgeries (Literature Review)

“…У 29 (38,7 %) пациентов 1-й группы и у 8 (2,9 %) больных 2-й группы в последующем ди-агностировали образование паховой грыжи. На осно-вании полученных результатов авторы пришли к вы воду, что паховая грыжа чаще развивается после простат-эктомии, выполненной открытом доступом [15].…”

Prevention Technique of Postoperative Inguinal Hernia in Patients Undergoing Radical Prostatectomy for Localized Prostate Cancer

“…Since the first report by Regan et al in 1996 [1], the high incidence of postoperative inguinal hernia (IH) has been recognized as a common complication of RRP. The incidence of IH after RRP has been reported to range from 12 % to 38.7 % [1][2][3][4][5][6][7]. Furthermore, reportedly more than 90 % of IH after RRP was indirect hernia [4,6].…”