Your browser doesn't support javascript.
loading
Surgical Procedures and Results of Modified Intraperitoneal Onlay Mesh Repair for Inguinal Hernia After Radical Prostatectomy.
Ohuchi, Masakazu; Inaki, Noriyuki; Nagakari, Kunihiko; Kohama, Shintaro; Sakamoto, Kazuhiro; Ishizaki, Yoichi.
Affiliation
  • Ohuchi M; Department of Gastrointestinal Surgery, Juntendo University Urayasu Hospital, Urayasu-shi, Chiba, Japan.
  • Inaki N; Department of Gastrointestinal Surgery, Juntendo University Urayasu Hospital, Urayasu-shi, Chiba, Japan.
  • Nagakari K; Department of Gastrointestinal Surgery, Juntendo University Urayasu Hospital, Urayasu-shi, Chiba, Japan.
  • Kohama S; Department of Gastrointestinal Surgery, Juntendo University Urayasu Hospital, Urayasu-shi, Chiba, Japan.
  • Sakamoto K; Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, Tokyo, Japan.
  • Ishizaki Y; Department of Gastrointestinal Surgery, Juntendo University Urayasu Hospital, Urayasu-shi, Chiba, Japan.
J Laparoendosc Adv Surg Tech A ; 30(11): 1189-1193, 2020 Nov.
Article in En | MEDLINE | ID: mdl-32343621
ABSTRACT

Background:

Although inguinal hernia occurs frequently after radical prostatectomy, transabdominal preperitoneal (TAPP) inguinal hernia repair occasionally poses challenges due to fibrosis of the preperitoneal cavity. In patients with severe intrapelvic fibrosis, we have adopted a modified intraperitoneal onlay mesh (IPOM) technique. The surgical factors were compared between patients who underwent modified IPOM and those who underwent TAPP for inguinal hernia repair. Materials and

Methods:

In total, 57 patients underwent laparoscopic surgery for inguinal hernias after radical prostatectomy between February 2013 and January 2020. TAPP was successfully completed in 44 patients, whereas 13 patients underwent modified IPOM converted from TAPP. The surgical results were retrospectively compared.

Results:

The median follow-up duration was 36.0 months (range, 1-84 months). Intraoperative complications, recurrence of hernia, and chronic pain were not observed in both groups. The average duration of surgery in the modified IPOM group was longer than that in the TAPP group (137 versus 107 minutes, P < .05). There was no significant difference in the incidence of the inguinal-related complications such as inguinal pain or inguinal swelling.

Conclusions:

Postoperative complications including recurrence of hernia after modified IPOM are comparable to those after TAPP hernia repair. Modified IPOM repair is a surgical option for repairing inguinal hernias following radical prostatectomy.
Subject(s)
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Postoperative Complications / Prostatectomy / Surgical Mesh / Laparoscopy / Herniorrhaphy / Hernia, Inguinal Type of study: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Aged / Aged80 / Humans / Male / Middle aged Language: En Journal: J Laparoendosc Adv Surg Tech A Year: 2020 Document type: Article Affiliation country: Japan

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Postoperative Complications / Prostatectomy / Surgical Mesh / Laparoscopy / Herniorrhaphy / Hernia, Inguinal Type of study: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Aged / Aged80 / Humans / Male / Middle aged Language: En Journal: J Laparoendosc Adv Surg Tech A Year: 2020 Document type: Article Affiliation country: Japan