Simultaneous hernia repair following robotic-assisted radical prostatectomy is safe with low rates of mesh-related complications

Jaber, Abdel Rahman; Moschovas, Marcio Covas; Rogers, Travis; Saikali, Shady; Perera, Roshane; Loy, David; Sandri, Marco; Roof, Shannon; Diaz, Keila; Ortíz, Carlos; Patel, Vipul

doi:10.1007/s11701-023-01574-2

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…Some papers published before 2010 reported that bowel resection could result in postoperative infection of hernial mesh [ 18 ]. However, studies published after 2015 suggest that simultaneous hernial operation with another regional operation, such as colorectal surgery [ 19 ], cholecystectomy [ 20 , 21 ], or prostatectomy [ 22 ], does not increase mesh infection. Actually, 14 cases of simultaneous hernial repair and another contaminated surgery (six resection of gastrointestinal lesion, four laparoscopic cholecystectomy, two hepatectomy, one distal pancreatectomy, one lymph node dissection in the pelvis) in our institution from 2016 to 2023 did not cause mesh infection.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous resection of a neuroendocrine tumor in an incidental Meckel’s diverticulum with transabdominal preperitoneal hernial repair: a case report

Kato,

Saito,

Kurahashi

et al. 2024

surg case rep

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Background As laparoscopic surgery becomes more prevalent worldwide, Meckel’s diverticula are increasingly being discovered incidentally during surgery. There is no consensus on whether to follow up or resect such diverticula, which are usually asymptomatic. In cases of transabdominal preperitoneal inguinal hernia repair, resection of such a diverticulum might add the risk of mesh infection. Thus, it is unclear whether simultaneous intestinal resection is advisable. Case presentation A 64-year-old man diagnosed with a left indirect inguinal hernia underwent laparoscopic inguinal hernia repair, during which a 2-cm Meckel’s diverticulum located contralateral to the mesentery of the ileum approximately 30 cm from Bauhin’s valve was detected incidentally. Because of the potential risk of future complications such as hemorrhage, diverticulitis, or tumor development, wedge resection of the ileum was performed extracorporeally through an extended umbilical port site after completion of the hernia repair. Pathological examination revealed a neuroendocrine tumor (G1) in Meckel’s diverticulum, which was successfully resected without any mesh infection or postoperative complications. Discussion Our patient’s clinical course raises two important issues. First, a Meckel’s diverticulum detected incidentally during laparoscopic surgery should be resected promptly because malignant tumors within such diverticula have frequently been reported. Second, simultaneous resection with hernia repair using mesh seems to be as safe as other clean-contaminated surgery. Conclusions Management of incidental Meckel’s diverticula should be selected by appropriate assessment for the risk of malignancy and complications.

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