Inguinal Hernia After Robotic Prostatectomy

Herein we examine the literature regarding the incidence of postoperative inguinal hernias after prostatectomy review potential risk factors which could aid in preoperative patient identification and discuss the published experience regarding concurrent hernia repair at the time of open or minimally invasive radical prostatectomy. This is the first half of the robotic hernia repair video. During the average 11 2 month follow up period no patients who had previously undergone prostatectomy developed recurrence.

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But i ve never heard of the same after a robot assisted prostatectomy so i wondered has anyone on here had an inguinal hernia after robotic surgery or any other problem after robotic surgery.

Inguinal hernia after robotic prostatectomy. From july 2014 to december 2016 tapp inguinal hernia repair was conducted in 40 consecutive patients who had previously undergone ralp. Most studies exploring intraoperative inguinal hernia prevention techniques found a significantly lower inguinal hernia incidence in the experimental group. Tapp inguinal hernia repair may be a valuable alternative to open hernioplasty. First reported ih as a complication of orrp with an incidence of 12 at 6 months after surgery since then a number of studies indicated high incidence of ih after orrp 2 8 in addition various risk factors are suggested to be associated with ih after.

I then remove the contents of the hernia including fat with the robotic instruments. 7 recent reports suggest that the frequency of inguinal hernia within 4 years after surgery is 12 21 after orp 8 9 and 6 after minimally invasive radical prostatectomy mirp. Because of the scarring from prostate surgery the preperitoneal space is challenging to work in making laparoscopic surgery for inguinal hernia after a prostatectomy is nearly impossible. 28799065 indexed for medline mesh terms.

The inguinal hernias that developed after radical prostatectomy were primarily indirect 81 9 95 ci 75 3 88 4. Free up the hernia sac by opening the peritoneum widely over to the anterior superior iliac spine. Most surgeons prefer to use an open anterior approach and some have started using an advanced laparoscopic platform marketed as robotic surgery. Inguinal hernia after open radical prostatectomy orp using the retropubic approach is well described.

Laparoscopic tapp inguinal hernia repair after ralp was safe and effective. To evaluate the efficacy and safety of laparoscopic transabdominal preperitoneal tapp inguinal hernia repair in patients who have undergone robot assisted laparoscopic radical prostatectomy ralp. I ve read that because of the nature of the surgery there is an increased risk of an inguinal groin hernia associated with radical prostatectomy. Inguinal hernia ih is recognized as one of the complications of conventional open retropubic radical prostatectomy orrp.

After the robotic prostatectomy is finished we insert a piece of mesh.