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Hernia repair during endoscopic (laparoscopic) radical prostatectomy
Jens-Uwe Stolzenburg1, Robert Rabenalt, Anja Dietel
1Department of Urology, University of Leipzig, Leipzig, Germany. stolj@medizin.uni-leipzig.de
Summary
Endoscopic extraperitoneal radical prostatectomy (EERPE) combined with totally extraperitoneal (TEP) hernia repair is feasible and safe. This combined procedure offers a low complication rate for patients undergoing prostatectomy and hernia repair.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Radical prostatectomy is a common treatment for prostate cancer.
- Inguinal hernias frequently coexist with prostate cancer.
- Simultaneous surgical repair may improve patient outcomes.
Purpose of the Study:
- To evaluate the feasibility and safety of combining endoscopic extraperitoneal radical prostatectomy (EERPE) with totally extraperitoneal (TEP) hernia repair.
- To assess the operative time, complication rates, and recovery metrics of the combined procedure.
Main Methods:
- Retrospective review of 60 patients undergoing EERPE.
- Concomitant totally extraperitoneal (TEP) hernia repair using Prolene mesh in 8 patients.
- Analysis of operative time, conversion rates, reoperation rates, and complications.
Main Results:
- Median operative time for EERPE was 165 minutes; hernia repair added 15-25 minutes.
- Zero conversion or reoperation rates.
- Low morbidity: 8 patients with minor complications (edema, hematoma), 1 major complication (deep venous thrombosis).
Conclusions:
- The extraperitoneal approach facilitates simultaneous radical prostatectomy and inguinal hernia repair.
- The combined procedure is safe, feasible, and associated with acceptable operating times and low morbidity.
- Concomitant hernia repair does not significantly increase complications or operative time.