Postoperative inguinal hernia after robotic-assisted radical prostatectomy for prostate cancer: evaluation of risk factors and recommendation of a convenient prophylactic procedure

Abstract

inguinal hernia after robotic-assisted radical prostatectomy for prostate cancer: evaluation of risk factors and recommendation of a convenient prophylactic procedure. Cent European J Urol. 2019; 72: 418-424. body mass index (BMI), subclinical inguinal hernia, previous history of major abdominal surgery, postoperative bladder neck contracture, and so on [2, 3]. Some prophylactic procedures during open RP were introduced, such as blunt dissection of the peritoneum at the internal inguinal ring and isolation of the spermatic cord from the peritoneum [4]. On the other hand, in the era of minimally invasive surgery, represented by robotic-assisted radical prostatectomy (RARP), the incidence of postoperative

The Experience of Robot-assisted Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair Following Robot-assisted Laparoscopic Radical Prostatectomy: A Cohort Study

“…In contrast, Iwamoto et al described creating an incisional line of peritoneum as an important prophylactic method. They proposed that incising the peritoneum su ciently close to the internal inguinal ring could prevent PIH [22].…”

“…Moreover, Otaki et al showed that psoas muscle volume (PMV) < 350 cm 3 was an independent risk factor for PIH [21]. Additionally, Iwamoto et al showed that dilatation of the internal inguinal ring represents an important risk factor for PIH [22]. The precise mechanism of developing PIH is still unknown, but it is de nitive that a surgical procedure is a crucial factor in the development of PIH.…”

Utility of Robot-assisted Laparoscopic Transabdominal Preperitoneal Repair of Inguinal Hernia Following Robot-assisted Laparoscopic Radical Prostatectomy

“…Moreover, Otaki et al showed that psoas muscle volume <350 cm 3 was an independent risk factor for PIH (21). Additionally, Iwamoto et al showed that dilatation of the internal inguinal ring represents an important risk factor for PIH (22). The precise mechanism of developing PIH is still unknown but it is a fact that a surgical procedure is a crucial factor in the development of PIH.…”

“…In contrast, Iwamoto et al described creating an incisional line of the peritoneum as an important prophylactic method. They proposed that incising the peritoneum sufficiently close to the internal inguinal ring may prevent PIH (22).…”