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Related Experiment Videos

Preperitoneal mesh-plug herniorraphy during radical retropubic prostatectomy.

Darrel E Drachenberg1, David G Bell

  • 1Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.

The Canadian Journal of Urology
|September 24, 2002
PubMed
Summary

Simultaneous inguinal hernia repair using a Marlex mesh plug during radical prostatectomy is safe and effective. This approach for prostate cancer patients with hernias shows no complications or recurrences at 18 months.

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Area of Science:

  • Urology
  • Surgical Oncology
  • Hernia Surgery

Background:

  • Radical retropubic prostatectomy for localized prostate cancer has increased due to PSA screening.
  • 5-10% of prostatectomy candidates have concomitant inguinal hernias.
  • Untreated inguinal hernias carry significant complications.

Purpose of the Study:

  • To evaluate the safety and efficacy of simultaneous inguinal hernia repair during radical prostatectomy.
  • To assess a novel Marlex mesh plug technique for concomitant hernia repair.

Main Methods:

  • A novel inguinal hernia repair using a Marlex mesh plug was performed in 15 patients undergoing radical prostatectomy.
  • The repair was done concomitantly with the prostatectomy procedure.

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Main Results:

  • No intraoperative or postoperative complications related to the hernia repair were observed.
  • At a median follow-up of 18 months, no hernia recurrences were reported.
  • No instances of postoperative orchalgia were noted.

Conclusions:

  • Preperitoneal mesh-plug herniorraphy is a safe and effective method for repairing inguinal hernias in patients undergoing radical prostatectomy.
  • This simultaneous approach is well-tolerated and achieves good outcomes.