Postoperative Inguinal Hernia After Radical Prostatectomy for Prostate Cancer

Abe, Takashige; Shinohara, Nobuo; Harabayashi, Toru; Sazawa, Ataru; Suzuki, Shin; Kawarada, Yo; Nonomura, Katsuya

doi:10.1016/j.urology.2006.09.043

Cited by 82 publications

(68 citation statements)

References 15 publications

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“…This result was almost the same as the previous reports. Currently several clinical risk factors of postoperative IH are reported, such as increasing age, low value of BMI, PLND, previous history of IH repair, previous history of abdominal surgery, postoperative anastomotic stricture, and postoperative wound-related problems [4]. In our present study, none of these factors we analyzed showed statistical significance.…”

Section: Discussioncontrasting

confidence: 51%

“…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].…”

Section: Introductionmentioning

confidence: 99%

“…The etiology of postoperative IH after RRP remains unclear for now. One of the most likely hypotheses is the potential opening of processus vaginalis by the damage to the abdominal wall during surgery [4].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Oyama

Miyake

Toyoshima

et al. 2016

Indian J Surg Oncol

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To prevent inguinal hernia after retropubic radical prostatectomy, many urologists have utilized a prevention technique of inguinal hernia at the same time as retropubic radical prostatectomy. Here, we report the clinical benefit of the prevention technique of inguinal hernia as well as risk factors for the incidence of inguinal hernia. We investigated the medical records of 223 men who underwent retropubic radical prostatectomy for clinically localized prostate cancer between January 2007 and March 2013 at our medical center. We assessed the association between the postoperative inguinal hernia and variables such as age, body mass index, and previous abdominal surgery. Inguinal hernia-free survival was analyzed to verify risk factors of postoperative inguinal hernia. Of 223 patients, 67 (30 %) received prevention of inguinal hernia and 156 (70 %) did not. The median follow-up period after retropubic radical prostatectomy was 36 months (range, 3-58 months). Thirty one (14 %) patients developed unilateral or bilateral inguinal hernia after retropubic radical prostatectomy. The rate of postoperative inguinal hernia in prevented and non-prevented group was 3 % (2 of 67) and 19 % (29 of 156), respectively (P < 0.01, Mann-Whitney U test). Moreover, postoperative inguinal hernia-free survival in the prevention group was significantly longer than that in the nonprevented group (P < 0.01, log-rank test). In the prevention group, 1-, 2-, and 3-year inguinal hernia-free survival rates were 100 %, 96 %, and 96 %, respectively. Other clinical factors including age, body mass index, previous abdominal surgery, and previous inguinal hernia were not associated with the incidence of inguinal hernia in our cohort. The prevention technique was simple and safe to perform, and it could increase inguinal hernia-free survival rates after retropubic radical prostatectomy.

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Section: Discussioncontrasting

confidence: 51%

Section: Introductionmentioning

confidence: 99%

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

Oyama

Miyake

Toyoshima

et al. 2016

Indian J Surg Oncol

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“…Right side dominance has been associated with IH incidence after ORP [4,6,17] . Regarding the question of laterality, Abe et al [6] hypothesized that the position of the surgeon may influence laterality, as the right internal ring exfoliation tended to be more intensive because surgeons usually stand on the left side of the patients and manipulate easily on the right side.…”

Section: Discussionmentioning

confidence: 97%

Incidence, Risk Factors and a Novel Prevention Technique for Inguinal Hernia after Robot-Assisted Radical Prostatectomy

Shimbo

Endo²,

Matsushita³

et al. 2016

Urol Int

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Introduction: To evaluate the incidence and risk factors for postoperative inguinal hernia (IH) after robot-assisted radical prostatectomy (RARP) and to assess whether a newly developed prevention technique reduces the incidence of IH after RARP. Methods: We included 161 consecutive patients (322 groins) who underwent RARP between September 2011 and October 2013. The prevention technique was as follows: (1) sufficient incision of peritoneum around the internal inguinal ring; (2) separation of spermatic vessels; (3) dissection of vas deferens. Results: Postoperative IH occurred in 14 cases (19.4%) occurring in the observation group compared to 2 cases (2.2%) in the prevention group. Patent processus vaginalis (PPV) was the only risk factor. Time-to-event analysis demonstrated a significant decrease in IH incidence in the IH prevention group (p = 0.005). Conclusion: Our data reveal a higher incidence of IH after RARP, with the existence of PPV as the only identified risk factor. Our simple IH-prevention technique, which does not involve the use of artificial materials, appears safe and effective.

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“…As for laparoscopic prostatectomy (LRP) that is carried out with a minimum incision, the incidence of inguinal hernia has been reported to be as high as that with open RRP. 10 The incidence of inguinal hernia was 17% (9 of 53 patients), 14.0% (6 of 43) and 1.4% (1 of 74) in open RRP, LRP and radiotherapy groups, respectively. The higher incidence in LRP may be attributable to the prolonged high pressure caused by the gas.…”

Section: -15mentioning

confidence: 87%

Lower incidence of inguinal hernia after radical prostatectomy using open gasless endoscopic single-site surgery

Fukuhara

Nishimatsu

Suzuki

et al. 2011

Prostate Cancer Prostatic Dis

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Inguinal hernia is one of the long-term complications requiring surgical interventions after retropubic radical prostatectomy (RRP), and its incidence has been reported to range from 12 to 21%. The number of open gasless laparoendoscopic single-site surgery, especially minimum incision endoscopic radical prostatectomy (MIES-RRP) is increasing in Japan. The incidence of post-operative inguinal hernia was compared between conventional RRP and MIES-RRP. The medical records of 333 patients who underwent conventional RRP (n ¼ 214) or MIES-RRP (n ¼ 119) with pelvic lymphadenectomy at our hospital were retrospectively evaluated. There were no significant differences between the two groups in age, pre-operative PSA levels, or previous major abdominal surgery (cholecystectomy, gastrectomy and colectomy), appendectomy or inguinal hernia repair. MIES-RRP was carried out with a 5-8-cm lower abdominal midline incision. Inguinal hernia developed postoperatively in 41 (19%) of the 214 men undergoing conventional RRP during mean follow-up of 58 months (range: 7-60 months). In contrast, 7 (5.9%) of the 119 men receiving MIES-RRP, developed inguinal hernia during mean follow-up of 21 months (range: 13-31 months). The hernia-free survival was significantly higher after MIES-RRP than after conventional RRP (P ¼ 0.037). Our results suggest that MIES-RRP is less associated with post-operative inguinal hernia than conventional RRP.

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Postoperative Inguinal Hernia After Radical Prostatectomy for Prostate Cancer

Cited by 82 publications

References 15 publications

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

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

Incidence, Risk Factors and a Novel Prevention Technique for Inguinal Hernia after Robot-Assisted Radical Prostatectomy

Lower incidence of inguinal hernia after radical prostatectomy using open gasless endoscopic single-site surgery

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