Laparoscopic inguinal hernia repair during laparoscopic radical prostatectomy

Area of Science:

• Urology
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Laparoscopic radical prostatectomy (LRP) is a standard treatment for prostate cancer.
• Simultaneous inguinal hernia repair (LIHR) during LRP is infrequently reported.
• Previous attempts with absorbable mesh for LIHR yielded disappointing results.

Purpose of the Study:

• To evaluate the safety and efficacy of simultaneous LIHR and LRP using non-absorbable mesh.
• To describe the surgical outcomes and complications of this combined procedure.

Main Methods:

• Retrospective review of 40 patients undergoing simultaneous LIHR and LRP.
• All LIHR procedures utilized antegrade techniques with non-absorbable mesh.
• Patients were followed for a mean of 10 months post-operatively.

Main Results:

• 48 hernias were repaired in 40 patients with a mean age of 60 years.
• Mean operative time was 172 minutes, with a mean hospital stay of 1.5 days.
• No hernia recurrences were observed; two patients developed new contralateral hernias. Minor complications included urine leaks, lymphoceles, and urinary retention.

Conclusions:

• Simultaneous laparoscopic inguinal hernia repair (LIHR) with laparoscopic radical prostatectomy (LRP) is a successful and reliable procedure.
• Non-absorbable mesh is recommended for LIHR during LRP due to superior outcomes.
• This combined approach offers a viable solution for symptomatic patients undergoing prostate cancer surgery.