Laparoscopic inguinal hernioplasty after robot-assisted laparoscopic radical prostatectomy

Sakon, Masahiro; Sekino, Yasushi; Okada, Mitsuko; Seki, Hitoshi; Munakata, Yasuhiro

doi:10.1007/s10029-017-1639-2

Cited by 27 publications

(30 citation statements)

References 8 publications

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“…Three studies evaluated the surgical outcome of TAPP, and two studies evaluated the surgical outcome of TEP. The characteristics of the included studies[512131415] are showed in Table 1. All studies provided information about minor and major intra- and post-operative complications, rate of conversion to open surgery and recurrence rate.…”

Section: Resultsmentioning

confidence: 99%

“…The risk of bias among included studies is reported in Figure 2. According to the study quality assessment of controlled intervention studies NHLBI,[7] the studies of Claus et al ,[5] Sakon et al ,[14] Wauschkuhn et al [15] were classified as ‘fair’ and the studies of Le Page et al [13] and Sakon et al [14] were classified as ‘good’. According to the GRADE approach, the quality of evidence of this meta-analysis was ‘low’.…”

Section: Resultsmentioning

confidence: 99%

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Safety, feasibility and clinical outcome of minimally invasive inguinal hernia repair in patients with previous radical prostatectomy: A systematic review of the literature

et al. 2019

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Background:Radical prostatectomy (RP) represents an important acquired risk factor for the development of primary inguinal hernias (IH) with an estimated incidence rates of 15.9% within the first 2 years after surgery. The prostatectomy-related preperitoneal fibrotic reaction can make the laparoendoscopic repair of the IH technically difficult, even if safety and feasibility have not been extensively evaluated yet. We conducted a systematic review of the available literature.Methods:A comprehensive computer literature search of PubMed and MEDLINE databases was carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Terms used to search were (‘laparoscopic’ OR ‘laparoscopy’) AND (‘inguinal’ OR ‘groin’ OR ‘hernia’) AND ‘prostatectomy’.Results:The literature search from PubMed and MEDLINE databases revealed 156 articles. Five articles were considered eligible for the analysis, including 229 patients who underwent 277 hernia repairs. The pooled analysis indicates no statistically significant difference of post-operative complications (Risk Ratios [RR] 2.06; 95% confidence interval [CI] 0.85–4.97), conversion to open surgery (RR 3.91; 95% CI 0.85–18.04) and recurrence of hernia (RR 1.39; 95% CI 0.39–4.93) between the post-prostatectomy group and the control group. There was a statistically significant difference of minor intraoperative complications (RR 4.42; CI 1.05–18.64), due to an injury of the inferior epigastric vessels.Conclusions:Our systematic review suggests that, in experienced hands, safety, feasibility and clinical outcomes of minimally invasive repair of IH in patients previously treated with prostatectomy, are comparable to those patients without previous RP.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Safety, feasibility and clinical outcome of minimally invasive inguinal hernia repair in patients with previous radical prostatectomy: A systematic review of the literature

et al. 2019

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“…We experienced an extremely rare complication; that is, an external iliac vein injury, during TAPP for an inguinal hernia that arose after RARP. As the number of TAPP procedures performed for inguinal hernias that occur after RARP has increased in recent years, 4,5 it is important that surgeons are able to deal with such complications. The incidence of inguinal hernias after RP for prostate cancer is said to be about 11.9%, 1 which is considered to be quite high, as the incidence of inguinal hernias in adult males is 5%.…”

Section: Discussionmentioning

confidence: 99%

An inguinal hernia that arose after robot‐assisted radical prostatectomy and the repair of an intraoperative external iliac vein injury: A case report

Nakanishi

Igarashi

Miki

et al. 2021

Asian J Endoscop Surgery

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This case involved a 63‐year‐old man. He underwent robot‐assisted radical prostatectomy (RARP) for prostate cancer. One year after the operation, he consulted our hospital about left inguinal swelling. Under a diagnosis of a left external inguinal hernia, transabdominal preperitoneal repair (TAPP) was performed under general anesthesia. The inside of the hernia orifice had been damaged by the RARP, and the resultant fibrosis was so marked that it was difficult to dissect the preperitoneal space. Furthermore, an external iliac vein injury occurred during the operation. The bleeding was controlled, and we used laparoscopic continuous non‐absorbable sutures to repair the external iliac vein injury. The number of TAPP procedures performed after radical prostatectomy has been increasing in recent years, but dissecting the preperitoneal space inside a hernia orifice is difficult. Although external iliac vein injuries are rare complications of TAPP procedures, they can be laparoscopically repaired.

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“…Despite the HerniaSurge guidelines, many studies have been published showing the laparoscopic approach for inguinal hernias after prostatectomies [24][25][26][27][28] . There are two studies in the literature regarding robotic inguinal hernia repair after urologic procedures to our knowledge.…”

Section: Table 1 Ten Steps For a Safe Mis Inguinal Repairmentioning

confidence: 99%

Robotic-assisted approach for complex inguinal hernias

Malcher¹,

Lima²,

Cordeiro³

et al. 2021

MIS

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Laparoscopic inguinal hernia repair was introduced in the early nineties as a minimally invasive alternative to the classic Lichtenstein repair. Over the decades, minimally invasive approaches have demonstrated both postoperative benefits and easy replicability. Robotic inguinal hernia repair has been shown as a safe alternative to laparoscopic repair. Furthermore, due to technical difficulties, complex inguinal hernia repairs (scrotal hernias, incarcerated hernias, recurrent hernias, mesh removal, and previous pelvic surgery) are a relative contraindication for laparoscopic repairs. In this article, we highlight the advantages of the robotic approach for complex cases of inguinal hernia.

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Laparoscopic inguinal hernioplasty after robot-assisted laparoscopic radical prostatectomy

Abstract: Laparoscopic TAPP inguinal hernia repair after RALP was safe and effective. TAPP inguinal hernia repair may be a valuable alternative to open hernioplasty.

Cited by 27 publications

References 8 publications

Safety, feasibility and clinical outcome of minimally invasive inguinal hernia repair in patients with previous radical prostatectomy: A systematic review of the literature

Safety, feasibility and clinical outcome of minimally invasive inguinal hernia repair in patients with previous radical prostatectomy: A systematic review of the literature

An inguinal hernia that arose after robot‐assisted radical prostatectomy and the repair of an intraoperative external iliac vein injury: A case report

Robotic-assisted approach for complex inguinal hernias

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