Long term efficacy of prosthetic inguinal herniorrhaphy concomitant with robot-assisted laparoscopic radical prostatectomy.
Inguinal hernia
Prostate cancer
Prosthetic herniorrhaphy
Radical prostatectomy
Robotic surgery
Journal
World journal of urology
ISSN: 1433-8726
Titre abrégé: World J Urol
Pays: Germany
ID NLM: 8307716
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
received:
07
06
2023
accepted:
07
09
2023
medline:
9
11
2023
pubmed:
27
9
2023
entrez:
27
9
2023
Statut:
ppublish
Résumé
Patients who undergo robot-assisted laparoscopic radical prostatectomy (RARP) may present concurrent or secondary inguinal hernia (IH). Surgical repair of IH simultaneously with RARP has been reported. We aimed to assess the long-term efficacy of concurrent prosthetic IH repair with RARP. Data for consecutive patients undergoing concurrent IH repair with RARP for localized prostate cancer at our institution between 2006 and 2017 were retrospectively analysed. Patients were matched based on age, BMI, and year of surgery, with patients undergoing RARP alone. IH repair was performed with a polyester mesh. Efficacy of IH repair was the primary outcome. Patient characteristics, perioperative data, recurrence and treatment were recorded. A total of 136 men were included, 50% treated by RARP and concurrent IH, 50% by RARP alone. Mean age was 65 years (SD 6) and mean BMI 26.8 (SD 2.5). IH was diagnosed preoperatively in 42 patients (62%) or intraoperatively in 26 patients (38%). A total 18 patients (26%) had bilateral hernias and 50 patients had unilateral hernias (right 31%, left 43%). There was no significant difference between the two groups regarding perioperative data. The herniorrhaphy added 34 min to the operative time (p < 0.001). After a mean follow-up of 106 months [SD 38], 9 patients (13%) presented recurrence of IH, with a mean time to recurrence of 43 months [SD 35]. Age was significantly associated with IH recurrence (p = 0.0007). Concomitant IH repair and RARP appear to be a safe procedure with good long-term safety and efficacy, without significantly increasing morbidity.
Identifiants
pubmed: 37755521
doi: 10.1007/s00345-023-04625-3
pii: 10.1007/s00345-023-04625-3
pmc: PMC10632196
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3169-3174Informations de copyright
© 2023. The Author(s).
Références
Urology. 2011 Feb;77(2):391-5
pubmed: 20646748
J Urol. 2020 Feb;203(2):265-274
pubmed: 31039101
Int J Med Robot. 2010 Sep;6(3):311-4
pubmed: 20812271
MMWR Morb Mortal Wkly Rep. 2020 Oct 16;69(41):1473-1480
pubmed: 33056955
Eur Urol. 2020 Jan;77(1):38-52
pubmed: 31493960
Surg Gynecol Obstet. 1949 Nov;89(5):621
pubmed: 18144044
World J Surg. 2018 May;42(5):1304-1311
pubmed: 29075859
J Robot Surg. 2008;1(4):269-72
pubmed: 25484976
ANZ J Surg. 2021 Nov;91(11):2288-2295
pubmed: 34553473
Hernia. 2022 Aug;26(4):1143-1152
pubmed: 35731311
Hernia. 2021 Oct;25(5):1129-1135
pubmed: 33555463
J Endourol. 2016 Feb;30(2):218-22
pubmed: 26486884
Hernia. 2019 Jun;23(3):473-484
pubmed: 31089835
J Robot Surg. 2018 Jun;12(2):325-330
pubmed: 28831728
J Endourol. 2016 Feb;30(2):208-11
pubmed: 26414558
Urol J. 2018 Nov 17;15(6):381-386
pubmed: 30033512
J Urol. 2016 Jun;195(6):1744-7
pubmed: 26678953
Eur Urol. 2021 Nov;80(5):650-660
pubmed: 34538508
Urology. 2006 Aug;68(2):267-71
pubmed: 16904432
Ann Surg. 2009 Aug;250(2):187-96
pubmed: 19638912
Hernia. 2018 Feb;22(1):1-165
pubmed: 29330835
Urology. 2005 Nov;66(5):1034-7
pubmed: 16286119
Urologe A. 2002 Mar;41(2):144-9
pubmed: 11993092
Langenbecks Arch Surg. 2022 Nov;407(7):3107-3112
pubmed: 35729400
Urology. 1996 Apr;47(4):536-7
pubmed: 8638364
Ann Surg. 2014 Jun;259(6):1223-7
pubmed: 23732267
J Robot Surg. 2010 Dec;4(4):217-20
pubmed: 27627948